Methods Techniques and Process of Repertorisation DR SUMAN

Methods, Techniques and Process of Repertorisation DR. SUMAN SANKAR. A. S, M. D. (Hom) Professor, Department of Repertory Sarada Krishna Homoeopathic Medical College Kulasekharam

Methods of repertorisation Dr. B. K. Sarker in his book , lectures in Homoeopathy (1956) has described the following methods: - • Hahnemann & Boenninghausen’s method: where complete symptoms are available • Kent’s method: where generals (mentals & physicals) & particulars are available. • Third method: where mentals are lacking. Here one can start with physical general, next mentals and then particulars.

• 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.

• Fifth method – where the case presents only common symptoms or pathology. Here physician makes use of every means at his command, including, – Patient’s personal history – Temperaments – Complexion , colour and texure of the skin – Particular organsand tissue affected – Location, character and physical aspect of lesions, and – Probable etiological factors

• Sixth method – technical nosological terms are selected as main headings. Above all the methods have their own advantages and disadvantages.

Techniques of repertorization 1. Old method: using plain paper method • In this method, rubrics are arranged according to the hierachy and medicines are listed against them. • All the medicines with their grades are written by hand against the symptoms. at this end, common medicines which cover all the rubrics are found out. They are further differentiated with reference to the Materia Medica.

Advantage of plain paper method • While writing the symptoms referring to the rubrics and noting down the medicines, one learns to use the repertory in a better way. • It leaves a lasting impression on the user’s memory. • As a result, acquaintance with repertory and knowledge of the Materia Medica improves considerably.

Disadvantage of plain paper method • It consumes more time in working out a case.

2. Modern method: • • • using repertorial chart Using repertorial sheet Referral way Coin playing technique Using a computer

Using a repertorial sheet • The repertorial sheet used, contains a list of medicines alphabetically arranged and also a number of longitudinal and horizontal columns for noting down the marks against rubrics.

Using a card • The use of cards in repertorising a case can minimise the labour of writing work. • Here the cards are arranged logically to find the final remedy.

• Advantage of using cards -It saves time and labour compared to the above two techniques. • Disadvantage of using cards – limited amount of learning as there is no exposure to each symptom along with it’s group of medicines.

Referral way • This technique is used in cases which need a quick reference to a few symptoms for finalizing a remedy, mostly done by experienced physicians in acute as well as chronic cases. • Reference can be made using books, cards or computers.

Using computers • The process of repertorisation has become easy and non-time consuming. • If the rubrics are selected properly, they can be arranged and located in a computer repertory within no time. • The final calculation of marks takes as much time as in pressing a button.

PROCESS OF REPERTORISATION

• Process of repertorisation is a sequence of interdependent and linked procedure followed to get a simillimum or a group of similar medicines in a given case with the help of a repertory.

Total addition process: • All medicines against all the rubrics are noted down and finally total marks against medicines are calculated. • Medicines obtaining highest marks are further differentiated. • Advantage is that the possibility of omission is less. • This process is also called aggregation process.

Eliminating process • Selecting the most important symptom without which we can’t think of prescription, preferably a general. • This symptom is put on top and rest of the symptom are put under that symptom according to the hierarchy. • While repertorising take only those medicines which are covered by the first symptom. Further rubrics can be referred to and marks added to those medicines only.

• Some prefer to use 2 nd rubric while others even the 3 rd. Some prefer throughout. This process called continuous eliminating process.

• A few cautions should be taken while doing this process: – If evaluation of the symptom is not practiced strictly , this process will prove disastrous – Hierarchy of the symptoms should be adequately accurate. – However important the rubric, should not be taken if the rubric contains few drugs – Preferably generals should be used for the purpose. Important concomitant and pathological generals may be taken as eliminating rubric in Boenninghausen and Boger’s method

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