BOENNINGHAUSENS VIEW ON CASE TAKING AND CASE RECORD

BOENNINGHAUSEN’S VIEW ON CASE TAKING AND CASE RECORD DR. SATHISH KUMAR. V, M. D (Hom) HOD and professor, Department of Repertory Sarada Krishna Homoeopathic Medical College, Kulasekharam. SARADA KRISHNA HOMOEOPATHIC MEDICAL COLLEGE, DEPT. OF REPERTORY

Instructions… 1. He should get a general image of the patient by stating the age, sex, constitution, mode of living, occupation and especially the disposition when the person was well. 2. Then a brief mention should be made of the former sicknesses together with their course and cure. SARADA KRISHNA HOMOEOPATHIC MEDICAL COLLEGE, DEPT. OF REPERTORY

• Then it is very desirable to know the kind of treatment used and the medicines that were prescribed. • With respect to the completeness in every case the exact location of the pain in the body, so also the time and circumstances should be enumerated. SARADA KRISHNA HOMOEOPATHIC MEDICAL COLLEGE, DEPT. OF REPERTORY

• More general and indefinite symptoms deserve but little attention unless they are more pronounced • As something like this is present in many diseases and in every medicine -More striking, particular, unusual and peculiar symptoms – Physician to judge SARADA KRISHNA HOMOEOPATHIC MEDICAL COLLEGE, DEPT. OF REPERTORY

• Hexameter used by the scholars of school of theology through which a moral disease is to be judged concerning its seriousness and peculiarities. The verse in Latin is as follows in 7 rubrics SARADA KRISHNA HOMOEOPATHIC MEDICAL COLLEGE, DEPT. OF REPERTORY

BOENNINGHAUSEN’S CONCEPTS • • Quis ? Quid ? Ubi ? Quibus Auxiliis ? Cur ? Quomodo ? Quando ? SARADA KRISHNA HOMOEOPATHIC MEDICAL COLLEGE, DEPT. OF REPERTORY

Quis ? • • • Personality and Individuality Sex Age Bodily constitution Temperament Departure from normal state to now sickness Differing strikingly is more important than no change at all from the usual natural state SARADA KRISHNA HOMOEOPATHIC MEDICAL COLLEGE, DEPT. OF REPERTORY

• State of mind and disposition Greatest and most important variation from natural state • Scanned carefully • Sharply distinct and of rare occurrence • Then only will correspond to few remedies • Mental disturbances-One-sided diseases More important physical ailments recede SARADA KRISHNA HOMOEOPATHIC MEDICAL COLLEGE, DEPT. OF REPERTORY

Quid: • Nature and peculiarities of the disease. • Since the time of Hippocrates (2000 years ago) • OBSERVATIONS plus EXPERIENCE • Not the diagnosis (Label of the disease) as it does not point to indicated similar remedy SARADA KRISHNA HOMOEOPATHIC MEDICAL COLLEGE, DEPT. OF REPERTORY

Ubi: • The seat of the disease • It furnishes a characteristic symptom, since almost every medicine acts more and also more decidedly on certain particular parts of the living organism • Useful not only in local diseases, but also for the general diseases affecting the whole body- gout, rheumatism etc. SARADA KRISHNA HOMOEOPATHIC MEDICAL COLLEGE, DEPT. OF REPERTORY

• It is rarely or never that all the parts are affected in the same degree • Exact individualisation of the ubi is most necessary in Local affections • Selection of Prophylactic remedy in infectious diseases SARADA KRISHNA HOMOEOPATHIC MEDICAL COLLEGE, DEPT. OF REPERTORY

Quibus Auxiliis: • If the original hexameter was written for the purpose of Medicine, it would have been named either as ‘quibus socii’ or ‘quibus comitibus’ • It refers to the accompanying symptoms SARADA KRISHNA HOMOEOPATHIC MEDICAL COLLEGE, DEPT. OF REPERTORY

• In Homoeopathy, the chief aim is to find out the remedy which most completely corresponds to the totality of the symptoms, it is evident that this point is of the greatest importance SARADA KRISHNA HOMOEOPATHIC MEDICAL COLLEGE, DEPT. OF REPERTORY

• Every disease present in its recognizable phenomena a more or less numerous group of symptom, and it is only their totality which represents it complete image. • This image may be compared to a ‘portrait ’ SARADA KRISHNA HOMOEOPATHIC MEDICAL COLLEGE, DEPT. OF REPERTORY

• It is not sufficient that mouth, nose, eyes, ears, etc. , should be presented in such a manner as characterizes man and distinguishes him from the monkey and other animals but as every human physiognomy posses its peculiarities and is distinguished from others. SARADA KRISHNA HOMOEOPATHIC MEDICAL COLLEGE, DEPT. OF REPERTORY

• Those symptoms which are found in almost all diseases may be left out of our consideration, unless they manifest themselves in a striking manner SARADA KRISHNA HOMOEOPATHIC MEDICAL COLLEGE, DEPT. OF REPERTORY

• The same thing applies to those ailments which are constantly accompanying the disease under consideration as constant concomitant, unless they should be distinguished by some rare symptoms. SARADA KRISHNA HOMOEOPATHIC MEDICAL COLLEGE, DEPT. OF REPERTORY

Cur: • Why? - The cause(s) of disease Internal • General natural disposition / proximate cause • Idiosyncrasy External / Occasional • Miasmatic SARADA KRISHNA HOMOEOPATHIC MEDICAL COLLEGE, DEPT. OF REPERTORY

• After effects of acute diseases • Medicinal disease /poisoning • Ailments since injury, chilled, over heated, exposure, getting feet wet • Prophylactic remedy SARADA KRISHNA HOMOEOPATHIC MEDICAL COLLEGE, DEPT. OF REPERTORY

Quomodo: • Modus • All modifying factors – aggravations & ameliorations • negative • Motion and rest (also degree and kind) • Position • Eating and drinking • Physiological processes and reflex actions SARADA KRISHNA HOMOEOPATHIC MEDICAL COLLEGE, DEPT. OF REPERTORY

Quando: • Time of appearance • Of aggravation or amelioration according to the time of the day or night • Episodic diseases • The periodical return of symptoms • Conditioned by Seasons, the weather -In artificial drug diseases SARADA KRISHNA HOMOEOPATHIC MEDICAL COLLEGE, DEPT. OF REPERTORY

References • https: //en. wikipedia. org/wiki/File: Clemensma riafranciscusvonb%C 3%B 6 nninghausen. png • A reference to repertories for homoeopathic students-Dr. SIJU. P. V • Essentials of repertorisation-Dr. SHASHI KANT TIWARI SARADA KRISHNA HOMOEOPATHIC MEDICAL COLLEGE DEPT OF REPERTORY

THANK YOU SARADA KRISHNA HOMOEOPATHIC MEDICAL COLLEGE, DEPT. OF REPERTORY