Terminology_of_Repertory[1].pptx repertory

homoeopathy repertory

1. DEPARTMENT PRESENTATION TOPIC:DIFFERENT TECHNICAL TERMS IN STUDYING REPERTORY  

2. DEPARTMENT PRESENTATION MODERATOR: Dr. D. RAMYA KRISHNA M.D.(HOMOEO), ASSISTANT PROFESSOR, DEPARTMENT OF CASE TAKING AND REPERTORY, Dr. GGHMC, GUDIVADA. PRESENTER: Dr. MAHESH MAKIREDDY, PG SCHOLAR, PART-1, DEPARTMENT OF CASE TAKING AND REPERTORY, Dr. GGHMC GUDIVADA.

3. Introduction Logical study of any repertory requires knowing different terms used in repertory RUBRIC, SUB-RUBRICS, CROSS-REFERENCE, REPERTORIZATION, REPERTORIAL TOTALITY, POTENTIAL DIFFERENCE, HUNTING OF RUBRICS, GRADATION OF REMEDIES, REPERTORIAL ANALYSIS, PRINCIPLE OF REPERTORIZATION -GENERAL TO PARTICULAR……….

4. LANGUAGE OF THE REPERTORY The language of the repertory is different from the language of the Materia Medica and different from the language of the patient because the repertory uses a more limited vocabulary. Patients may use different words and descriptions to express the same thing. This richness must be translated in the exact wording of the Materia Medica. The core of the expressed symptoms or idea will be found in one way in the repertory.

5. Repertorization It is an ARTISTIC and SCIENTIFIC METHOD of individualization or Generalization of patient in which the process is done by mathematical calculations of totality and their medicines with proper grades from the repertory. 

6. RUBRICS Origin - The word rubric is originated from the Latin word “ Rubrica ” which means heading or guiding rule , so rubric is a term applied to each heading or main heading of symptoms with list of larger number of medicines which are followed by sub-rubrics.  Reportorial language of representing a symptom and clinical terms . EXCEPT ‘CONCORDANCE REPERTORY’ Definition - Rubrics are the repertorial language in which a big sentence is expressed by few words, with proper arrangement followed by ‘coma’. Source - Sources of rubrics are from different Homoeopathic Materia Medica. 

7. GENERAL RUBRIC SUB RUBRIC SUB SUB RUBRIC

8. CONSTRUCTION OF RUBRIC It is the process of making the rubrics from various symptoms of Materia Medica.        While converting symptoms into rubrics following rules are adapted Convert the rubric with language of repertory used. b. Convert the language of the case to that of the repertory without mutilating its original meaning. 

9. Example : 1.Symptom - Throbbing type of pain in head relieved by pressure.  Rubric -Pain, sub rubric- pulsating (throbbing), pressure amel . - Head section (Kent Repertory) 2. Symptom - Patient has fear of death when alone. Rubric - Fear, sub rubric - death, sub-sub rubric alone when - Mind section (Kent R.).

10. ARRANGEMENTS OF RUBRICS Rubrics are arranged alphabetically under each and every section in different repertories. Example : Skin Section - Adherent, Anesthesia, Bedsore, Biting, Callous, Cancer

11. Symptom Rubric Definiti-on External manifestation of internal derangement of Vital force. Rubric is the repertorial language in which a big sentence is expressed by few words with proper arrangement followed by ‘coma’. Word Greek word “symptom”. Latin word “ Rubrica ”. Meaning Which means any Change. Which means heading or guiding rule. Types General, particular, subjective objective etc. General rubric, sub rubrics or sub divisions i.e. further modifications. Source Patient, physician, prover, attendance, laboratory  investigation. Symptoms from different Homoeopathic Materia Medica that are converted into rubric.

12. Utility in Repertory ​ ​ Has to be converted into rubric and then used for  repertorization .​ ​ As it is the language of repertory used directly for​ repertorization .​ ​ Gradation​ Are graded in patient and in Materia Medica by definite principles.​ ​ ​ graded but the  symptom evaluates the importance of rubric for selection. ​ ​ Analysis​ Analyzed by different authorities in different ways.​ ​ Rubrics are not analyzed.​ Character​ Are incomplete.​ Are complete.​

13. Cross-Reference It means reference to another passage in the same book. Definition : These are rubrics used instead of others that bear the same meaning when correctly interpreted. (Means substitute of one - With or without remedies). E.g. In Kent's Repertory (See Rubric) this is for two purposes: 1. Synonyms rubrics like ABANDONED (see Forsaken). 2. Cross-reference - rubrics like ABSENT - MINDED (see Forgetful).        No list of medicines after the rubric indicates synonyms (Blind Rubric) and list of medicines after the (See Rubric) means Cross-reference.

14. WHY THERE ARE CROSS REFERENCES? The only reason is that at the time of proving different provers expressed their feelings in their own words. E.g. In case of Thuja, prover first explained feeling of ----brittleness and the same feeling is expressed by another prover--- that as if he is made of glass.

15. ADVANTAGES OF CROSS-REFERENCES It helps to differentiate similar Rubrics. It helps to locate the appropriate Rubrics. It helps to compare drugs mentioned at both places. Cross-reference helps to interpret the meaning of characteristic symptoms and convert them    into the appropriate rubric without any confusion. It helps to make new addition if someone wants to Intwork on repertory.

16. POTENTIAL DIFFERENTIAL FIELD By logical arrangement of the symptoms, a conceptual image is formed which gives the totality of a case. This totality serves the purpose of selecting a right medicine by finding out the most similar picture in the materia medica . Symptoms are arranged according to their hierarchy, which forms a totality. But, for the purpose of repertorization , such hierarchy may have to be restructured as per the principles and methodology of the repertory used. This restructuring. is done either because they (rubrics) are not represented well in that particular repertory or they do not fit in well with the logic of the repertory. So, the original totality must be modified accordingly. The modified totality as per the repertory used is called P.D.F

17. POTENTIAL DIFFERENTIAL FIELD The symptoms which still remain after deducting the repertorial totality from the conceptual image form is called the potential differential field (P.D.F .).             Potential differential field = C onceptual image- Repertorial totality Potential difference is considered for prescription but not for actual mathematical calculations . P.D.F. helps in the differentiation and finalization of the remedy among the group of medicines obtained by repertorization Hence , P.D.F. consists of finer general symptoms or striking characteristic symptoms. For example - thermal condition (hot or chilly), desires and aversions, and some characteristic expressions which are not represented well in the repertory.

18. - PDF = CONCEPTUAL IMAGE- REP TOTALITY

19. HUNTING OF RUBRICS It is a method or process of searching out the required rubrics. So for proper hunting of required rubric from any of the Repertory one should know in detail: 1. Plan and construction of the particular repertory. 2. Philosophy and adaptability.  3. Scopes and limitations of various repertories. 4. Different typography used to grade the remedies and their abbreviations

20. To locate the proper rubric from mind section of any repertory requires knowing of Exact dictionary meaning of that rubric. Differentiating points of similar rubrics. Different cross-references .

21. DIFFERENT TECHNIQUES OF HUNTING RUBRICS SCIENTIFIC TECHNIQUE It is an ideal technique where rubrics are searched by following systemic plan i.e. SECTION .———->RUBRIC————-> SUB-SECTION (HEADING) ——->SUB-RUBRIC Students commonly use this technique. As compared to the other techniques this technique is time consuming but by following this, one will be perfect in using the repertory. B. DIRECT TECHNIQUE: i.e. by using Word index At the end of many repertories there is a word index, which helps to note the page number of the required rubric and open the referred page. This technique is less time consuming and used by busy practitioners who are expert in using the repertories, but not allowed for students in examination .

22. Synthesis of Rubric Many times while working for the case with one of the conceptual repertory it happens that each and every required rubric is not found in that repertory but some other similar rubrics are observed. In this case if those similar rubrics are combined together one may get required rubric according to totality. This concept of combining different rubrics into one is called synthesis of rubrics.             So while repertorizing such cases one can either consider all remedies from both rubrics or only common remedies while others are eliminated.

23. Elimination I t is the symptom, which throws off all unnecessary remedies & brings only those remedies, which are required for patient. Here prescription is based on characteristic symptom . Dr.Margaret Tyler & John weir advocated this method of reportorization .

24. 1 . Regular elimination method In first method only those remedies are considered which are indicated for the first selected eliminating symptom throughout the process of repertorization . This method is also called single rubric method of elimination .   2.Triangular method remedies are eliminated on the basis of every 1st symptom, means there is continues elimination on the basis of previous symptom. So at last he will get only One or two number of remedies & the repertorization chart look like triangular so named as triangular elimination .

25. Gradation of Remedy  It is qualitative value of remedy in provers as well as in patient. The principle of gradation of remedies depends upon appearance of that symptom in the remedy during proving, reproving and clinical verification.              The credit of evaluating or grading of remedies goes to Dr. Boenninghausen , which he had used in his first Repertory i.e. ‘Repertory of Antipsoric Remedies’. He used five variations in type that indicated the individual evaluation of each remedy to the given symptom or rubrics .

26. Repertory 1st 2 nd 3rd 4th 5th BBCR/BTPB  Capital Bold Italics Roman (Roman) Synthetic Rep Capital Capital Bold Roman * Kent's Rep Bold Italics Roman * * Synoptic key Capital Italics Roman * * Pathak's Rep. Capital Italics Roman * * Boericke Rep Italics Roman * * *

27. Rep E rtorial Totality - ( Repertorial Syndrome ) It is the rearrangement of totality according to repertory used and method used for repertorization . (Whether Kents, Boenninghausen's , Boger's etc.) The Repertorial syndrome/totality varies according to the logic applied, the philosophical background and method selected as required by the case. The symptoms or Rubrics selected for the repertorial syndrome form a hierarchy of importance of symptoms according to the philosophical background what remains after deducting the repertorial totality from the conceptual image constitutes the potential difference .

28. REPERTORIAL ANALYSIS It is conversion of patient’s symptoms into Repertorial language without changing its meaning. Repertory analysis differs with the construction and plan of repertory. Patient’s symptoms can be converted into Section, Rubric/Heading, Sub-rubric/Sub-heading accordingly. E.g. Patient says I want to die due to mental exertion. Repertory Section Rubric Sub rubrics Page number Kent Mind Suicidal, Disposition Thoughts 85

29. Repertorial Result Analysis If after repertorial result one finds that 3-4 remedies are running closely and carries almost equal marks and also covers equal number of symptoms out of considered totality, then in such case while prescribing one must try to match remedy qualitatively which means he must analyze each remedy separately in relation to marks obtained and for what symptoms it is obtained. The remedy, which gets the highest mark, is not necessarily the final remedy in all the cases. Repertorial results should befinally referred to in the court of materia medica . Marks are important , but these do not constitute the final verdict. Further,the group has to be compared to the picture of the patient andwith the help of materia medica , it should be differentiated . The remedy so selected must finally pass through certain criteria such as susceptibility sensitivity, suppression (if any), the level of similarity, function and structural changes, vitality and miasm , to arrive at t right potency and dose schedule

30. PRINCIPLE OF REPERTORIZATION General to Particular Why do we work from General to Particular?

31. For the selection of proper similimum by repertorization one should proceed in every case from Generals to Particulars. Carrying out this aim, one has to give first of all a general rubric containing all the remedies that have produced the symptoms followed by the particular viz. the time of occurrence, the circumstance and lastly the extensions. In preface to his repertory Dr. Kent further explains that, if a case is worked out merely from particulars it is more than probable that, the remedy will not be seen, and frequent failure will be the result. This is due to the fact that, the particular direction in which the remedies in the general rubric have not been observed and thus to depend upon small group of the other remedies which may have that symptom although not yet observed

32. GENERALIZATION   It is an aspect of the process of identification and applies forming general notions or formation of general concepts from particulars. The concept is based on the principle, which is true to the part, is true to the whole.  Example - a person complaining of throbbing type of pain in eye. He also complaining of undefined pain in head. Here application on eye pain to head is Generalization of sensations.      According to Dr. Boenninghausen to get complete symptom generalization of modalities as well as sensation is possible.

33. PARTICULARIZATION            It is that which is true to the part is true to the specific part . Word meaning of particular is relating to one person or thing and not others. So particular is specific to part.              In Homoeopathy these terms (Generalization & Particularization) are referred to Dr. Boenninghausen , Dr. Kent’s repertory and Dr. Boger's work. The other work on Boenninghausen T.P.B. i.e. Dr. Boger-Boenninghausen’s repertory is based on particularization.              

34. Conclusion M.L. Dhawale states that “ Repertories are symptom indexes based on the adoption of a standard plan that lists certain key words . These key words are the rubrics. The homoeopathic materia medica by contrast often lists the symptoms in the characteristic words of the prover. In the process of indexing the compiler of a repertory has to fit the words of the prover into the language of the repertory as denoted by the rubrics. The compiler tries his best to see that the original meanings are retained.” So one should learn the terminology related to repertory before going to be master in this particular subject like repertory.

35. BIBLIOGRAPHY 1. K.HARINADHAN,The Principles And Practice Of Repertoristion   2 M.L DHAWALE,  Priniciples And Practice Of Homoeopathy. 3. SHASI KANT TIWARI, Essentials Of Repertorisation . 4. VIDYADHAR .R KHANAJ , Reperire   5. www.homoeobook.com