BELLS DIARRHOEA DR CHANDRA HASAN C M M

BELL’S DIARRHOEA DR. CHANDRA HASAN. C. M, M. D. (Hom), ASSOCIATE PROFESSOR, DEPT OF REPERTORY, SARADA KRISHNA HOMOEOPATHIC MEDICAL COLLEGE, KULASEKHARAM

The name of the repertory : The Homoeopathic therapeutics of, diarrhoea, dysentery, cholera morbus, cholera infantum. The repertory is generally known as Bell’s diarrhoea The name of the author : Dr. James B. Bell. Introduction : the repertory “The homoeopathic therapeutics of, diarrhoea, dysentery, cholera morbus, cholera infantum”, structured to apply all loose evacuations of the bowels. The physicians especially youngsters during the period of author have felt the need of such a work about loose evacuations of bowels, when dealing with the frequent occurring and obstinate diarrhoea of infants.

The author was not want to include every remedy that has been known to purge, but only every remedy of which enough is known, either of it’s stools, or conditions or concomitants, to distinguish it from any other remedy. The book is pioneering work in the field of clinical regional repertories. This book have four editions. First edition : The first edition was published in 1869. The little work was prepared for the own use of the author, as a labour saver, and as a receptacle for clinical observations, and for gleaning from others and from the periodicals. The work was printed, because the author’s colleagues, who had seen it, desire to posses a copy

because of that Mr. Tafel who had seen it desired to print it as a book form. This edition contained the carefully collected experience of ten active years of practice of the author. The second edition : The second edition was published in 1881. The author mentioned that the materials for the second edition has been collected ever since the first edition was published. Dr. W. T. Laird under takes its preparation for the press (i. e) edited the second edition. He has added much from his own collection of materials and the entire remodeling of the repertory was done, because the first edition was quite defective. The authors former partner Dr. T. M. Dillingham kindly made a partial revision of the work, but

went abroad before it’s completion. Dr. Ad. Lippe has contributed two annotated copies and many suggestions. The merit of this book is in it’s practical application of the principles of Dr. Hahnemann (i. e) law of similars. Editor Dr. W. T. Laird says the second edition demand recognition of new remedies. In this book he mentioned four classes of remedies. In the first place those medicines which has been thoroughly proved and repeatedly verified in clinical practice. The second consist of the drugs which has also

been well proved, but those symptoms as yet lack clinical confirmation. The third embraces the medicines which are posses only fragmentary and imperfect pathogenesis (i. e. ) partially proved. The fourth division contains those remedies whose indications are derived solely ab us in morbis (i. e. ) whose indications are derived from diseased individuals (clinical practice). Of the first and second class every remedy is plainly entitled to addition, of which enough is known, either of it’s stool or conditions or concomitants to distinguish it from any other remedy

Many of the drugs in the third class are doubtlessly valuable, some of them have already been successfully used in practice. Unfortunately how ever at the present time the symptoms of the majority of the remedies are too few and too uncertain to render their selection easy. Remedies of the fourth class those having no basis, except empiricism – must be viewed with distrust and received with great caution. The second edition the same general plan has been followed as in the first edition, with the exception that the important symptoms are italicized while those which are especially characteristic are printed in block types.

The term “cholera infantum” has been retained in many cases, which according to strict pathology, which would be more properly designated as entero – colitis and gastro enteric catarrh. The second edition contains over 100 pages more than the first. Thirty two (32) new remedies have been added, and old ones thoroughly revised, in some instances entirely rewritten. Numerous clinical symptoms have been incorporated with the book, but only those whose genuineness is attested by trust worthy observers or which the author has frequently verified in his own practice. Many others have been rejected on the ground of insufficient evidence.

The author has gleaned valuable things from Homoeopathic literature, in order to make the book as accurate and complete as possible. Dr, W. P. Wesselhoeft and Dr. Ad. Lippe provided valuable notes and suggestions, prof. E. A. Farrington gave important information's and permitted to use very complete notes of his lectures on materia medica, Dr. F. F. Laird assist in the preparation of manuscript. The third edition : The third edition was published in 1888. This has been most thoroughly revised making it as nearly complete as possible. Four remedies of little importance have omitted

viz, cactus, euphorb, opuntia and castoreum and five of much valuable has been added, viz, acetic acid, crotalus, angustura, carbolic acid and valeriana. Dr. Samuel. A. Kimbel gave valuable assistance in this revision and DR. J. G. Allen and DR. W. Jefferson Gruernsey have furnished annotated copies of the earlier edition. Many others also contributed observations and suggestions. Fourth edition: The fourth edition was published in 1896. The contents of fourth edition are thoroughly revised and re - reversions done and renewed comparison with all the materia medica available during the time, no remedies were added and omitted.

Plan and construction: The book has been dived in to two main parts, part ‘I’ is therapeutic part, and part ‘II’ is the repertory part. Part ‘I’ contain the remedies and their indications. This work is intended to apply to all loose evacuations of the bowels, and to describe them, their aggravations, ameliorations with their immediate accompaniments and general accompanying symptoms. In each remedies symptoms are arranged as the following: 1, stool 2, aggravation 3, amelioration 4, before stool 5, during stool 6, after stool 7, accompaniments

The character of the stool is mentioned first. Under the heading aggravation and amelioration, those influences are given which affect the stool, and also those which act as an excited cause of the attack The concomitants of the stool have been studied and observed and mentioned with much care. The general accompaniments include all the symptoms that occurring during the attack. Under each of the best known remedies some symptoms is found italicized. These it will be under stood are the symptoms which have been most frequently observed, and which also serve to most sharply distinguish the remedy from others.

While the characteristic symptoms are printed in black types. Therapeutic part contain 141 remedies. The part two the repertory part, which has following sections (i. e. ) 5 sections. 1, Pathological names. 2, Character of stool. 3, Conditions of the stool and of accompanying symptoms. a, Aggravations. b, Ameliorations. 4, Accompaniments of the evacuation. a, Before stool. b, During stool. c, After stool.

5, General accompaniments. (23 sections). 1, Mind and mood. 2, Head. 3, Eyes and ears. 4, Nose. 5, Face. 6, Mouth 7, Throat. 8, Oesophagus. 9, Appetite. 10, Eructation. 11, Nausea and vomiting.

12, Stomach. 13, Abdomen. 14, Anus. 15, Urine. 16, Sexual organs. 17, Chest. 18, Back and neck. 19, Extremities. 20, Sleep. 21, Fever. a, Chill. b, Heat, c, Sweat. d, Pulse.

22, Skin. 23, General symptoms. Grades : Four grades are used in remedies, Bold – 4 -marks - first grade. Italics – 3 marks – second grade. Roman -2 marks - third grade. Roman in parenthesis -1 marks fourth grade. The medicine written in the brackets are doubt full remedies. There fore they need not be taken for the purpose of repertorization. The repertory part contain 141 remedies. Selection of remedy : According to the law of similars, and the principle individualization. (individualizing symptoms)

Arrangement of rubrics : Rubrics are arranged in alphabetical order, most of the sub rubrics are arranged after few small lines, there we have to read the previous rubric. Working out of a case : According to the following factors, Pathological names. Character of stool. Modalities. Concomitants. General accompaniments.

COMARITIVE STUDY OF BELL’S DIARRHOEA AND STOOL CHAPTER IN KENT’S REPERTORY 1, In Bell’s diarrhoea, the whole repertory is deals with loose evacuations. In Kent’s repertory, stool chapter deals with loose evacuations. 2, In Bell’s diarrhoea, in the first section, pathological names, rubrics and sub rubrics are mentioned in pathological names. In Kent’s repertory, pathological name related rubrics are not mentioned. 3, In Bell’s diarrhoea the second section, character of the stool – consistency of the stool, odour of stool,

quantity of stool, frequency of stool, related rubrics are mentioned. In Kent’s repertory, character of stool related rubrics are mentioned, same as Bell’s diarrhoea. 4, In Bell’s diarrhoea, in the third section – conditions of the stools and of accompanying symptoms (a) aggravation (b) amelioration, rubrics related to aggravating and ameliorating factors of loose evacuations are mentioned. In Kent’s repertory, aggravation and amelioration related rubrics are not mentioned. 5, In Bell’s diarrhoea fourth section under accompaniments of evacuations, (a) before stool, ( b), during stool, (c), after stool, the symptoms

related before during and after loose evacuations are mentioned as rubrics. In Kent’s repertory under few main rubrics, the symptoms before, during and after loose evacuations are mentioned as sub rubrics. In Bell’s diarrhoea, fifth section is general accompaniments in this 23 sub sections are mentioned, starts with mind ends in generals, here the symptoms appearing in anatomical parts and sensations related loose evacuations are mentioned as rubrics. In Kent’s repertory such types of rubrics are mentioned in stool chapter.

COMPARITIVE STUDY OF BELL’S DIARRHOEA AND STOOL CHAPTER OF BBCR. In Bells diarrhoea the whole repertory is deals with loose evacuations. In BBCR the stool chapter deals with loose evacuations. 2, In Bell’s diarrhoea repertory part, in the first section is pathological names, under this main rubrics are mentioned as pathological names and followed by corresponding sub rubrics. In BBCR, few pathological name related rubrics are mentioned.

3, In Bell’s diarrhoea the second section is character of stool, under which, types of stool, colour of stool, odour of stool, consistency of stool are mentioned as rubrics. In BBCR, character of stool related rubrics are mentioned, same as bell’s diarrhoea. 4, In Bell’s diarrhoea the third section, conditions of stools and of accompanying symptoms, (a) aggravation, (b), amelioration, under this rubrics related to aggravation and ameliorating factors of loose evacuations are mentioned. In BBCR aggravation and amelioration factors related rubrics of loose evacuations are mentioned under the section aggravation and amelioration under stool chapter.

5, In Bell’s diarrhoea fourth section is accompaniments of the evacuations, (a) before stool, (b) during stool, (c), after stool, here the accompanying symptoms, before, during and after stool are mentioned as rubrics. In BBCR, concomitants before stool, during stool, after stool sections under stool chapter contain the symptoms which are accompanying before, during and after loose evacuations are mentioned as rubrics. 6, In Bell’s diarrhoea in the fifth section, general accompaniments there are 23 sub – sections are mentioned, starts with mind and ends in generals, here the symptoms appearing in anatomical parts and sensations which related to loose evacuations are mentioned as rubrics.

In BBCR, such type of sections are not mentioned. 7, In Bell’s diarrhoea fraction of a day related rubrics are not mentioned. In BBCR, under time section of stool chapter, fraction of a day related rubrics are mentioned. 8, In Bell’s diarrhoea cross reference for rubrics are not mentioned. In BBCR, cross reference to rubrics are mentioned.