DESAI Bhanu D.

, How to find the Similimum with Boger-Boenningshausen's Repertory

(ds1)
DESAI Bhanu D.
Preface to the second edition
It gives me great pleasure to find that this book is going into its second edition within
two years. This opportunity has been taken to correct errors and omissions and bring the
book up-to-date. I would like once again to express my conviction, born of experience of
myself and some colleagues, that constant use of Borger-Bonninghansen's Repertory, in
acute as well as chronic cases, can be a valuable and unfailing aid in finding the
similimum. May the number of prescribers who use this Repertory grow and may they
raise high the banner if Hahnemannian Homoeopathy.
Bombay: 25th March, 1983. Bhanu Desai
Author's foreword
Every homoeopath dreams of prescribing the curative remedy in every case of illness
that comes to him so as to attain Hahnemann's highest ideal of cure, viz, a rapid, gentle
and permanent restoration of health-and to find that remedy easily and quickly. finding
the simillimum necessarily involves comparison of the case with remedies, and of
remedies between them and of weighing one remedy against another in its application to
the individual case. This is by no means an easy task when it is remembered that while
there are remedies having the same symptom, they also have their differentiating points.
The conscientious homoeopth, therefore, has to take the final decision after referring to
the Materia Medica and/or a Repertory.
Now, an artisan is only as good as his tools are. Even an able artisan cannot turn out
good work with defective tools. On the other hand, without knowledge and the ability to
use them, even the best of tools are useless. Having found the Boger Boenninghausen's
Repertory an excellent and ever reliable tool in my search for the curative remedy during
the last nearly forty years of my practice as a Homoeopathic physician, I feel I will be
ungrateful to the profession and the science of homoeopathy if I do not share with my
professional brethren the manner in which this Repertory could be used to find the
simillimum quickly and accurately.
I was first introduced to this Repertory by the late Dr. A.C. Das who, in his days, was
Well-known in Bombay as a master prescriber. Dr. Das's exhortation still rings in my
ears. He said, "Dr. Desai, this is very valuable repertory, and if you ????it thoroughly,
you will never find it wanting." I have really found it to be so over the years in case after
case.
Why do I recommend the Boger Boenninghausen's Repertory as the best tool foe the
Homoeopathic Artisan ? It is good to know the answer, and this has necessitated my
going into the philisophical background of the Repertory as well as details of its
construction. The next point about how to use it efficiently, is met by giging a few
important hints firstly on case-taking, secondly on the Selection of Characteristic
Symptoms for repertorisation and, thirdly, a step by step procedure for quick and accurate
repertorisation.
Practice makes a man perfect-and an ounce of practice is worth a ton of theory.
Therefore, to enable the reader to get down to the actual job, twenty-five cases of actual
repertorisation are given, some from my own practice and some from other prescribers. A
brief discussion of the method followed is given with the cases. These are followed by
another twenty-five cases for practice; in these, while the reader is given the rubrics, it is
left to him to locate them in the Repertory, work out the analysis in a Chart and find the
curative remedy. Then follow yet another twenty-five cases (with the names of the
curative remedies in the "Solutions" section), and the reader is required to convert the
symptoms into rubrics, and work out the analysis in a Chart.
If the reader conscientiously uses these seventy-five cases as "exercises in
repertorisation", he will surely acquire considerable mastery in the use of this Repertory
and learn the art of finding the remedy for a given case fairly rapidly.
The Repertory contains a large number of allied rubrics scattered all over. Cross-
References to such rubrics scattered all over. Cross-References to such rubrics are given
in the second part of this booklet, and readers are advised to copy down the page numbers
near the relevant rubrics, so that the allied rubrics can be referred to at once whenever
required.
A number of additional rubrics remedies have also been given in this part, for being
added in your copy of the Repertory. I would suggest readers to paste a few blank sheets
of paper at the end of each Chapter in the Repertory, in which all such new rubrics of
remedies could be added (after making sure that they are not already there in some allied
form or another). This will keep the Repertory razor-sharp in its utility, and will sharpen
your ability in using it in all types of cases.
Till recently I had no idea that I will contribute one more book to the large volume of
literature on Homoeopathy. However, members of the homoeopathic Study Circle, whom
I have been guiding for nearly five years now in the use of this Repertory, and who have
found the Repertory to be a great help in finding the simillimum, have been repeatedly
pressing me to make the technique of using this Repertory available to the profession as a
whole. The suggestion appealed to me and at my request, Mr. S.M. Gunavante, an
enthusiastic member of the Study Circle, undertook the arduous task of comiling this
book, based on the discussions at our weekly meetings. He has thus assisted me greatly in
getting it up in its present form. My special thanks are due to him as well as to other
leading members of our group, such as Dr. S.Y. Rele, H.M. B., and Dr. (Mrs) Geeta
Punjabi, L.C. E.H. for their encouragement in this endeavour for the benefit of our
professional brethren.
I will be amply gratified if this book helps the younger and upcoming generation of
Homoeopaths, if not the old-timers too, to become proficient as well as efficient
practitioners of the art of cure by Homoeopathy.
"Vasant Urmi" Bhanu Desai
9thx10th Road
Khar, Bombay- 400052
March, 1981
PAGE 1
How to find the simillimum with boger-boenninghausen's repertory
"You must learn your repertory by heart almost, and know where to search. Of course, I
am searching this since the last forty-seven years-every day fifty times at least..."- Dr.
Pierre Schmidt in "The Art of Interrogation" -JHM. 5/3.
Need for repertory
In his search for the curative remedy every Homoeopathic physician faces the task of
satisfying the requirements of totality easily, quickly and accurately. Towards this end,
various short-cuts are suggested and practised. The question is how far they are reliable.
Firstly, ready-made, easy-looking "Therapeutic Hints" are available in plenty, but they
are apt to be more of a trap than a real help in the long run; at best, they may be
palliative, but true long-term success as a Homoeopathic physician cannot be built on
pallation and tinkering. The Homoeopath deprives himself of much higher levels of
success by following this method. Secondly, a thorough knowledge of the Materia
Medica is no doubt essential-the more thorough the better. But how many of us are gifted
with this rare ability? Perhaps, one may develop this mastery after a life-time of study
and practice ! But a physician needs this ability here and now, when he is young and
inexperienced, as also in old age when he cannot work hard and memory sometimes
becomes undependable. Can he always rely on the sketchy knowledge he had gained
during his college days, supplemented by a study during spare hours after a tiresome day?
Does it pay him to resort to hit or miss methods?
PAGE 2
It must be stressed that a successful Homoeopathic prescription can only be made in the
background of a thorough knowledge of the differentiating symptoms of various
remedies. There are as many points of similarity between remedies, as there are points of
differentiation, and to find a way out of the maze and decide which remedy, on balance,
is most similar to a given case is not an easy task. It is obvious that complete dependance
on a study of the Materia Medica alone (that is, that part of it which is retained in our
memory) for application in a given case, is difficult in practice and is bound to be
uncertain in results.
In the same way, can a knowledge of Key-notes, however thorough it may be, be relied
upon to lead invariably to the curative remedy? Rhus tox. is not the only remedy which is
"worse at the beginning of motion"; Capsicum, Conium, Euphorbia, Ferrum, Pulsatilla
and Lycopodium are all equally prominent. "Sweat while awake" is not met with in
Sambacus alone, but in Pulsatilla as well to the same , and in Mercurius, Nux Vomica
and Phosphorus to a lesser extent. Though valuable in themselves, Key-notes alone may
mislead us.
To arrive at the "constitutional remedy" of a patient by a mere look at his physiognomy,
complexion, gait behaviour, or at best a brief interrogation is tempting; but this art is only
given to masters like Kent or Lippe-and can we ignore that even that mastery was a result
of hard study, close observation and plenty of practice?
Even Hahnemann, who had proved a number of remedies on himself and also guided and
supervised the provings on others, of a large number of remedies which form the core of
the Homoeopathic Materia Medica even today, and as such had a thorough grasp of the
genius of the remedies as no one else could have had, had felt in the course of his own
practice in his later years, the need for an index to the voluminous symptoms produced by
the various remedies. He had, therefore, enthusiastically welcomed and approved the
"Repertory of Antipsorics" compiled by his able desciple Von Boenninghausen.
PAGE 3
It should be ovious, therefore, that if the old masters felt the need of a Repertory, much
less can the average practitioner do without it. It is worth noting that each author, whose
Repertory is with us today, started compiling that work more to meet the exigencies of
his own daily practice, than for other reasons.
Place of boger-boenninghausen's repertory in homoeopathic literature
Of the Repertories in the hands of the profession today, the "Boger-Boenninghausen's
Repertory", edited by Dr. C.M. Boger is the subject of this little booklet. It is unfortunate
that though it is second to none in its practical utility, it appears to have been
comparatively neglected. The aim of this book is to provide an impetus to a wider circle
of Homoeopaths to discover for themselves its immense value as an unfailing aid in
finding the simillimum.
Development of this repertory
The compilation of the Boger-Boenninghausen's Repertory in its present form represents
the combined wisdom and experience of two master-minds, Boenninghausen and Boger,
as will be presently seen. The form of this Repertory was initially adopted by a logical,
creative scientific thinker like Boenninghausen, a close student and disciple of
Hahnemann. More than fifteen years after the had issued the first Repertory,
Boenninghausen brought out the "Therapeutic Pocket Book" incorporating therein the
results of his vast experience. Master prescribers like Lippe and Carroll Dunham, both
close friends of Boenninghausen, expressed their appreciation of this work. As H.A.
Roberts says in his Introduction to this book, "Hempel, Okie, Boger and T.F. Allen,
among others have given of their time and genius in attempting to perfect this little work,
"which has stood the test of over a century of use and has run into many editions and
translations.
PAGE 4
Now, Boger was an assiduous student of Boenninghausen and also a German scholar.
Thus he was able to study, the original works of Boenninghausen in German and correct
many faulty translations of his work in English. What impressed Boger during these
studies was the form of the Therapeutic Pocket Book and its practical usefulness. He,
therefore, adopted the plan of the Pocket Book and anlarged that work considerably into
what we now call the "Boenninghausen's Repertory and Characteristics". This Repertory,
encompasses in one volume the various works of Boenninghausen-the original
"Repertory of Antipsorics", the "Therapeutic Pocket Book", the "Sides of the Body", the
Erpertory part of the "Intermittent Fever" and "Whooping Cough" as well as a large
number of paragraphs from the "Aphorisms of Hippocrates". He also added to this new
work a number of remedies which were proved after Boenninghausen passed away. H.A.
Roberts describes this naw Repertory as perhaps one of the greatest pieces of
Homoeopathic literature left by Boger, than whom there was never a more thorough
student of Boenninghausen. That Boger compiled 105 printed pages of "Additions to
Kent's Repertory" speaks volumes for his deep knowledge of and insight into the
characteristics of the remedies and the construction of Repertories.
Form of the repertory
The Boger-Boenninghausen's Repertory (like the Therapeutic Pocket Book) is divided
into six distinct Chapters (excluding that on "Relationships" or Concordances). Each
Chapter gives but one part of a symptom. The remaining parts of that symptom are to be
traced out and the symptom completed by reference to one or more of the remining
Chapters. Boenninghausen arrived at his arrangement as one of the best and most
practical after trying out different plans and not being satisfied with them. Hahnemann
himself had pronounced his ideas on this aspect as "excellent and eminently desirable."
PAGE 5
 After all, a true Repertory has to be an Index to the various symptoms produced by the
drugs-an Index in which the several parts of the remedies can be readily traced, so that
when the parts are merged (put together again) in a meaningful way, there emerges the
picture of the remedy which best meets the disease-picture. Indexing cannot be done
without breaking up the symptoms into parts; but this breaking had to be done in such a
way that, what was broken could be brought together again in a meaningful way. Critics
of such breaking up argue that this process of breaking up scatters important parts of
symptoms in different Chapters and makes the original symptom unavilable when
required, and renders comprehension of the Totality more difficult. This line of argument
is a fallacy. On the contrary, the breaking up process makes the parts available for
application in varying circumstances of diverse illnesses, and actually releases it from the
"strangle- hold" of a "unified symptom".
Let us take, for example, the symptom: Abdomen, distended, with flatus; inability to
wear tight clothing: Nux-v. (Knerr's Repertory, p. 491). If this symptom is not broken up,
it will have to be repeated under different rubrics such as "Distended", "Flatus", "Pressure
of clothes", etc. Moreover, the prescriber's vision will be limited to this "one symptom"
alone. Let us see what happens when it is broken up. In Boger-Boenninghausen's
Repertory we find Nux-v. along with 122 remedies under "Abdomen, inflation,
distension" (p. 551); with 84 remedies under "Abdomen, fullness" (p. 560); with 37
remedies under "Agg. from pressure of clothes" (p. 1135). Now, each of these parts
(rubrics) could become applicable to different cases, and we find because of the breaking,
that Nux-v. is not alone for this group of symptoms. Lycopodium emerges equally
strongly. If we are to choose between Nux-v. and Lyco., we shall have to elicit some
more differentiating symptoms; and Nux-v. will score if there is "repugnance to food",
while Lyco. will be indicated if there is "speedy satiety".
PAGE 6
This example, we hope, will suffice to show how by breaking up the symptoms into
meaningful parts, our capacity to combine them in diverse conditions of illness and find
the real similimum for a case actually increases.
Philosophical background of the repertory
The above discussion leads us to the philosophical back-ground of the Repertory, as
breaking up of symptoms is not merely a matter of convenience. The question was
whether the reconstructed picture of the remedy (and the disease) will stand the acid test
of clinical confirmation, which alone can justify the method of classification adopted.
Boenninghausen found that in the Materia Medica Pura, the original source record of all
provings of the Polychrests, many symptoms are incomplete either because the part of the
body or the kind of sensation is not clearly indicated. Frequently, the aggravatio ns and
ameliorations according to time or circumstance are omitted... the individuality of the
prover exercises an influence on the proving which easily misleads.... and, in general the
worth or worthlessness of most symptoms can be ascertained only by means of
painstaking comparisons of the whole". He found these deficiencies not only in the
Materia Medica but even when the patients state their symptoms. Drawing upon his vast
experience, after examining each case he had treated, he there upon came to the
conclusion that this problem could be solved on the basis of analogy. He found that
symptom which existed in an incomplete state in some parts of a given case, could be
reliably complted by analogy, by observing the conditions of other parts of the case. If,
for example, it was not possible, by questioning a patient, to decide what aggravated or
ameliorated a particular symptom of the case, the patient would readily express a
condition of aggravation or amelioration of some other symptoms. It did not take long for
Boenninghausen to discover that the conditions of aggravation and amelioration are not
confined to this or that particular symptom, but they apply to all the symptoms of the
case. The same was, more or less, the case with sensations.
PAGE 7
Boenninghausen found that conditions or amelioration have a far more significant
relation to the totality of the case and to its single symptoms, and a correct choice of the
suitable remedy depends very often chiefly upon them. It was a stroke of genius that led
Boenninghausen to formulate this principle which vastly simplified the task of
constructing the Repertory, and conversely the task of finding the simillimum
corresponding to the totality of symptoms, of which the conditions of aggravation and
amelioration are an indispensable part.
This approach was criticised by some masters as taking a far too simplistic view, since
there are occasions when a local modality is quite the opposite of the general one. As
there was considerable force in this argument, Boger has given in the Repertory the
conditions of aggravation and amelioration pertaining to anatomical regions and
functions (i.e. local modalities) also apart from the Chapter on General Modalities.
The next problem in constructing the Repertory was how to classify the symptoms. A
haphazard classification would not lend itself to an easy reconstruction of totality of a
given case. Boenninghausen proceeded on the hypothesis that the totality was not only
the sum total of the symptoms of a case, but was in itself one grand symptom of the
patient. This one grand symptom of the patient had necessarily to comprise three facts,
viz:
1. The anatomical region or location.
2. Sensation, i.e. , the kind of pain, sensation or organic or functional change which
characterises the orbid process.
PAGE 8
3. The conditions of aggravation or amelioration (as to time and circumstances) which
cause, increase or afford relief to the suffering.
To these three aspects which together gave a complete symptom, Boenningha usen added
a fourth requirement, the concomitant, which itself is often divisible in the three
divisions. He observed that nearly in every case there were to be found one or more
concomitant symptoms. A concomitant symptom is one which co-exists or appears in
some relation to time, with the outstanding symptoms of the complaint. Concomitants are
those which seemingly have no relation to the leading symptoms from the standpoint of
theoretical pathology. We might almost term them as "unreasonable attendants" of the
case in hand.
True to the teachings of Hahnemann, Boenninghausen recognised that every symptom or
a part of a symptom belongs to the case as a whole, and consequently enables us to
complete the partial symptoms by combining the separate fragments into a whole. This is
no other but Hahnemann's postulate that it is the man who is sick, an that all the
discomforts which he suffers from, i.e. , the chief complaint as well as its comcomitants,
are a part of his condition, ans should therefore be considered in our attempt to bring him
to perfect cure. Guided by this sound and scientific approach, Boenninghausen broke up
(or classified) the symptoms according to their location (from head to foot), sensation of
various kinds, conditions of aggravation or amelioration and concomitants.
The third problem in the construction of a Repertory which the master-mind of
Boenninghausen solved (and which has been followed by ohters after him) was to fix the
comparative value of remedies in relation to a given symptom. Not every remedy
producing a particular symptom in the provers, produced it equally intensively, or has
beenconfirmed equally frequently in practice. Boenninghausen felt that this important
aspect should be within the knowledge of the physician in weighing the applicability of
one remedy against others.
PAGE 9
He solved this problem by assigning different marks to remedies, denoted by the
different types used for different marks. In the Repertory under discussion, 'Capitals'
represent 4 marks , 'Bold' types denote 3 marks, 'Italics' 2 marks and ordinary types stand
for one mark. Boenninghausen says that "in fixing the exact relative values of the
remedies, he spared no industry, care or circumspection to avoid errors as far as
possible". The first grade remedies (4 marks) produced the symptom in most of the
provers and have given repeated clinical confirmation; the second grade remedies (3
marks), are only a shade lower than the first-grade; the third-grade remedies, though
observed in provings less often, have received clinical confirmation; and the lowest-grade
remedies (one mark) have been confirmed in practice occasionally, and should not be
ignored merely because of their low rank if, with other symptoms of the totality complex,
they lead us to their choice.
Boenninghausen found that the breaking up of the symptoms and their classification in
the manner described above made them very flexible, so that they could fit into different
types of symptom-groups not even previcusly known. Was this result justified and
supported by clinical experience? Nature combines the elements of disease in ever
varying forms according to the constitution and susceptibility of each individual patient.
If Homoeopathy is a true science and art, we should be able to combine the elements of
the Materia-Medica also to meet nature's ever varying forms. The answer to this problem
as to how the symptoms in the Materia Medica could be be safely adapted through the
process of breaking up to meet ever varying forms of disease was provided by
Boenninghausen's concept of analogy already referred to, by which the location in one
part a sensation in another part and a modality of a third part could be taken together to
form a grand totality of the individual. No stronger proof of Boenninghausen's correct
insight into the problems of classifying and breaking up the symptoms on the one hand,
and of synthesizing them to meet diverse types of totalities on the other, is required than
the successful prescriptions which emerge again and again from a correct use of the
Boger-Boenninghausen's Repertory.
PAGE 10
This is because though the symptoms are broken up and scattered, they can be brought
together in a consistent and logical form-and this too with a surprising degree of elasticity
which enables the prescriber to meet any syndrome, any group of symptoms, that may
confront him in practice.
Detailed plan of the repertory
It was necessary to discuss the phylosophical base on which Boenninghausen
constructed the Repertory, as without it our confidence in it will be shaky and we will
give it up too easily and too soon, even before we have acquired the art of using it and
become thoroughly familiar with it. According to the philosophical background already
discussed, Boenninghausen divided his Repertory, into seven main Chapters (mentioned
below), and that plan has been faithfully followed by Boger in compiling the Repertory
under discussion:
1. Mind and intellect, including Sensorium and Vertigo from pages 191 to 250.
2. Locations, i.e. , sensations and complaints experienced in different locations, i.e. ,
anatomical parts of the body and organs, according to the Hahnemannian Schema, viz. :
Head (250-308); Eyes (309-348): Ears (348-364); Nose (365-390); Face (390-416); Teeth
(416-440); Mouth (441-472); Appetite/Thirst, etc. (472-499); Nausea and Vomiting (500-
513); Stomach and Hypochondria (514-543); Abdomen (543-571); Inguinal and Public
Region (572-575); Flatulence, Stool and Anus (576-618); Urine and Urinary Organs
(619-644); Genitalia, male and female (645-668); Sexual Impulse (669-674);
Menstruation (675-689); Respiration (690-705); Cough and Expectoration (705-733);
Larynx and Trachea (734-738); Voice (738-742); Neck and External Throat (743-748);
Nape (748-752); Chest (753-772); Heart and Region of Heart (773-784); Back, Scapular,
Dorsal, Lumbar, etc. (784-804); Upper Extremities (805-842); Lower Extremities (842-
881)
3. Sensation and Complaints in General (881-936); of Glands (937-940); of Bones (940-
944); of Skin and Exterior Body (944-979).
4. Sleep and Dreams (980-1002)
5. Fever-Pathological types (1002-1005); Blood (1005-1006)
Palpitation, Heart beat, Pulse:
Circualtion; palpitation; Heart beat; Pulse (1006-1020); Fever in General (1047-1076);
Sweat (1076-1098); Compound Fever (1099-1102).
6. Conditions of Aggravation and Amelioration in General; of time (1103-1104); of
situations, positions, circumstances, etc. (1105-1153).
7. Concordances (Relationship of Remedies: (1154-1231).
Mind
It was not the intention of the joint authors, Boenninghausen and Boger, to reflect the
picture of the whole man through his mental reactions alone, important though they are
(or through any other predominent group of symptoms), as they realised how warped a
view even the most careful observer may have at times, and how difficult it is many times
to correctly assess a man's mental make up. They have, therefore, not given minute
details of the mental symptoms, but only broad and predominant classifications which,
far from misleading the prescriber, keep him on the right track. The prescriber acquires
the ability to correctly interpret and translate the patient's narration of symptoms and
select the correct rubric or rubrics through constant practice.
PAGE 12
Location-parts of the body and organs
This broad classification runs into various Sub chapters. Each Sub-chapter begins with a
list of the remedies covering each location. For example, "Head in general", "Temples",
"Vertex", "Eyeball-Right and Left", "Conjunctiva", "Cornea", and so on. When we realise
that the remedies have an 'elective affinity, for particular organs and tissues of the body,
the value of these rubrics will be adequately realised. Many times the patient is not able
to describe the exact sensation, and on such occasions, these rubrics of regional remedies
alone combined with the modalities and concomitants help us in selecting the remedy.
After these regional remedies, in each sub-chapter, follow in alphabetical order the
various sensations and complaints as well as functional disorders relating to that part of
the body, such as disorders of vision, hearing smell, appetite nausea and vomiting,
diarrhoea, micturition, menstruation, respiration, voice, skin eruptions, etc.
Each Sub-chapter is also followed by its local modalities of aggravation and
amelioration. The prescriber can compare these with the General Modalities. If a remedy
is found in both these places, its indication becomes strong.
The Repertory also contains the following Sections of Concomitants:
Mind (229)
Vertigo (247)
Nausea and vomiting (511)
Stomach (532)
Abdomen (567)
Stool, bef. (593)
Stool, during (595)
Stool, aft. (599)
Urinating before (630
Urinating beginning (630)
Urinating during (631)
Urinating close of (633)
PAGE 13
Urinating after (633)
Coition (673)
Coition after (673)
Pollution after (674)
Menses, before (678)
Menses, at start of (681)
Menses, during (682)
Menses, after (686)
Leucorrhoea (689)
Respiration (705)
Cough (720)
Fever (chill) (1036)
Heat (fever) (1063)
Sweat (1088)
Sensations and complaints in general
Just as sensations and complaints referable to different localities are given in their
respective Sub-chapters, this Chapter contains remedies which have produced various
kinds of pains, sensations and complaints in the body as a whole. This is yet another
valuable Chapter without reference to which no single case of repertorisation can be
completed. Particular attention needs to be drawn to the group of rubrics headed,
"Infants, affection of' (902), which has helped the author many a time to find the remedy,
promptly in treating infants.
Sleep and dreams
The importance of this Chapter needs no reiteration. The nature of sleep, and the kinds of
dreams that sometimes repeatedly harass a person are important indicators of a man's
state of health, and they should necessarily form a part of the totality. Even the position
during sleep sometimes leads to the curative remedy.
Fever-chill, heat, sweat, circulation
The detailed Schema wise concomitants to each of the Sub-chapters Chill, Heat and
Sweat given in this Chapter are extremely valuable in facilitating the choice of the
remedy, in cases of fevers. In fact, these sections are a "Self-contained Repertory on
Fevers" within the large Repertory. Then again, the sub-sections "Partial Cold" "Partial
Heat" and "Partial Sweat" do not necessarily apply to cases of fever only, but are of use
in non-febrile cases as well. Do we not often come across sensations of or actual
coldness, heat or sweat in single parts in non-febrile cases? These sub-sections are some
more useful features of the Repertory, helping us to complete the totality.
PAGE 14
Conditions of aggravation and amelioration, in general
The modalities apply to the patient as a whole and, as such, play a very important role in
the choice of the remedy as already stressed. Proper study and thorough familiarisation
with this Chapter helps a great deal in case-taking and consequently in repertorisation and
selection of the correct remedy. Attention should be drawn here to the group of rubrics
under the head "Agg. from Emotions" appearing at p. 116 in this Chapter. These could as
well have figured in the Chapter on Mind, and may be taken as such. They are also
important causative factors in many ailments.
Cross references
Translation of the patient's language into the language of the rubrics is an initially
difficult task which the prescriber faces. This difficulty can be overcome only by
thoroughly familiarising oneself with the various rubrics. By way of help, Cross
References are given at the end of most of the Chapters or sub-sections. For example, at
p. 230-236 Cross References to the rubrics on "Mind" are given. Whenever one does not
find a rubric for a symptoms one thinks of, would be useful to refer to the Cross
References at the end of the respective Chapter. If the rubric sought after cannot be found
inspite of such a reference, an analogous rubric or rubrics should be consulted.
Concordances, i.e. , relationship of remedies
This Chapter also owes its origin to the "Therapeutic Pocket Book" of Boenninghausen
and should be consulted when a second prescription becomes necessary after the first has
helped some way, but not yet completely. H.A. Roberts has explained its use nicely in
his introduction to the "Pocket Book". Readers will do well to peruse that introduction for
full guidance. A brief illustration, however, will be in order.
PAGE 15
The child was running hich temperature with sore and swollen glands of the throat.
Earlier, what appeared like a simple cold had cleared under Belladonna, but now a few
symptoms appeared to contra-indicate it. The case was now analysed by reference to the
Chapter on Concordance, under the remedy Belladonna. Only the remedies ranking 4, 3
and 2 under the rubrics locations and Sensations (p. 1165) were first taken, and compared
with the same remedies in the remaining rubrics under Belladonna. The working out was
as on p. 16.
As a counter-check, another analysis was mase taking the high ranking remedies under
the rubric Glands (i.e. , remedies related to Bell. in glandular affections) and these were
compared with the same remedies in other rubrics, as above. Both these exercises gave
puls. the top rank; a casual study of the Materia Medica confirmed this analysis, and with
the admiration of Puls. the temperature gradually came down to normal in three days
(against ten weeks'time prognosticated by a specialist).
Reconstructing the totality from the repertory
From the preceding discussion it will be seen that, for arriving at the curative remedy we
have to bring together the various characteristic symptoms of a case (in the form of
rubrics) to cover the total case. The "Totality of Symptoms" covers five aspects, viz.,:
(1) Conditions of Aggravation and Amelioration.
(2) Sensations, including strange, rare, uncommon and peculiar symptoms.
(3) Locations.
(4) Concomitant Symptoms.
(5) Mental Symptoms- all of which are fully covered by the respective Chapters of the
Repertory. Boenninghausen did not want to disturb the balance by placing greater
emphasis on any one of these five elements of totality. He wanted the simillimum to
stand to stand four square on the solid foundation of the total picture, based on the
concept of the whole sick man.
PAGE 16
PAGE Scan 16
PAGE 17
However, experience had shown tha modalities and concomitants characterised each
case differently and have thus proved to be of greater help in differentiation of the
remedies. The mental symptoms also held the same prominence in differentiation
provided they are as strongly marked in the patient as in the remedy, a pointwhich it is
sometimes difficult to uncover. This difficulty does not, however, apply to modalities and
concomitants.
Once the uncommon, characteristic, individualising symptoms of a case are determined
under modalities, mentals, general sensations and concomitants, and the corresponding
rubrics in the Repertory are located, the remedies appearing against those rubrics are
brought together in a chart by denoting the value (4, 3, 2, 1 as the case may be) of each
remedy. The sum of the marks obtained against all if the rubrics by each remedy, together
with the total number of rubrics it has covered, denote the degree of similarity which each
remedy has to the totality of the case. The small number of remedies emerging with high
marks at the end of this effort would be further thinned out after the remedies for
locations are added. The two or three remedies with high values now standing out
prominently are then gone over carefully in a complete Materia Medica and a final choice
made as to simillimum. (This aspect is dealt with in greater detail elsewhere in this
booklet).
Concomitants
Boenninghausen attached great importance to concomitants, which being characteristic
in each patient, help us to differentiate drugs from one another and provide a second
differentiating factor (after the modalities have first differentiated and eliminated some.)
Yet, sufficient attention does not appear to be given this aspect of the totality by many
Homoeopaths. The concomitants are given extensively in the Repertory, and we should
not fail to use them. We shall, therefore, dilate on this subject a little more, in view of
their importance in forming the totality.
 PAGE 18
(i) Concomitant means accompanying or co-existing. Of course, common place
accompaniments of a disease are un-important, unless they are present in an
extraordinary degree or appear in a singular manner. In fact, the further a given symptom
seems removed from the ordinary course of a disease (i.e. , the more it belongs to another
sphere of the patient's health than the chief complaint-and indeed becomes an
"unreasonable attendant" as some masters have descibed it), the greater is its therapeutic
value. Concomitant is another name for such symptoms. A part from H.A. Roberts,
Gibson Miller has stressed that a remedy can cure groups of symptoms even when they
did not appear as concomitants in individual provers, provided each component of the
group was at least observed by a separate prover, thus leading to the inclusion of the
symptoms in the respective rubrics. For example, if in a case of Bronchial Asthma (p.
690), which is worse by warmth (p. 1150), there is a concomitance of polyuria (p. 628),
Pulsatilla would most likely be the drug of choice, unless there are some characteristic
symptoms of Lachesis (which comes a close second) to rule out Pulsatilla. It will be seen
that in the Concomitants to Respiration (p. 705) Pulsatilla carries four marks, which
means that it has a large number of concomitants in systems other than respiration.
(ii) The peculiar, strange, and rare symptoms are indeed concomitants. They cannot be
explained on pathology, yet they occur at the same time as the chief complaint.
(iii) When even a marked peculiar symptom belonging to the disease proper (i.e.
thirstlessness during fever) makes the choice difficult (there are 21 remedies of first rank
for thirstlessness at p. 1069), a concomitant (e.g. , scanty urine, p. 1071) will decidedly
indicate the drug (Puls.). So importance are concomitants and they deserve attention far
outranking the other symptoms of the chief complaint. Such symptoms land individuality
to the totality.
PAGE 19
(iv) Totality being the sum total of the characteristic symptoms, due attention to
concomitants helps in finding the simillimum more easily, and with an assurance of
accuracy, since a concomitant is a characteristic symptom peculiar to the individual
patient, vide example given in (iii) above.
(v) A concomitant having the same aggravation or amelioration as the general
symptoms, represents a highly characteristic feature of the remedy and is of great
importance. In other words, a modality which is common to the chief complaint as well
as a concomitant complaint is all-important. For example, if the eruption on the head (p.
300) and whitish stool (p. 592) which is a concomitant, are both aggravated by milk (p.
1121), this common modality would leave no doubt regarding Calc. c being the curative
remedy.
(vi) Mental concomitants in physical ailments and physical concomitants in mental
ailments are an unfailing guide to the simillimum. For example, cutting, cramping pain in
the abdomen (p. 548) after indignation (p. 562, 1116), if relieved by doubling up (p. 566)
would call for Colocynthis, but if without the amelioration from doubling up would
indicate Staphys. (p. 1116). Similarly, in a case of hysteria (p. 204) loud, noise (forcible)
belching or eructation (p. 492) would point to Argentum nit., but if the eructation is
"explosive" in nature (p. 491), Asafoetida would come in. Similarly, insanity (p. 208)
during menstrual period (p. 682), alternating (p. 191) with oppressed respiration(p. 693)
and constipation (p. 583) would strongly indicate Platina . Again, in the case of a patient
bearing feelings of hatred and revenge (203) against a person, the concomitant of falling
out of hair from the head (p. 302) and craving for salty things (p. 477) would call for
Natrum mur.
(vii) Homoeopathic literature abounds in cases illustrating the guiding part played by
concomitants in the choice of the remedy. No wonder, H.A. Roberts in his introduction
to the "Therapeutic Pocket Book" says :"The concomitant symptom is to the totality what
the condition of aggravation or amelioration is to the single symptom. It is the
differentiating factor."
PAGE 20
How to get the best out of the repertory
We shall now give a few brief hints on how to get the best out of the Repertory:
(i) Familiarise yourself thoroughly with the Repertory so that you can easily locate any
rubric you want. It is only when you know the various rubrics in the book almost "by
heart", as Dr. Pierre Schmidt says that your interrogation of the patient, while taking the
case, will be thorough, covering all the characteristic details, and you will also be able to
translate the patient's symptoms into repertorial rubrics.
(ii) Whenever you find that certain rubrics appearing in different parts of the Repertory
are similar or allied, and need to be consulted together, you may mark the page numbers
of the cross-references close to the respective rubrics. A number os such cross-references
in respect of such allied rubrics are given in a separate Section of this booklet. You are
advised to enter the page numbers of the cross-references given therein, at the relevant
places in your copy of the Repertory. This will facilitate easy and prompt reference to all
the relevant rubrics when using the Repertory and will prevent omission of important
remedies from consideration. In the case of such allied rubrics it would be advisable to
take all the remedies found in them together, as if they were all in one rubric; if the rank
of a remedy in two such rubrics differs, take the highest rank.
(iii) When a large rubric is followed by a number of sub-rubrics with a few remedies, do
not be tempted to use the small rubric alone, though you may keep it in mind while taking
the final decision. The larger general rubric initially given is more dependable as it
contains a larger number of remedies.
(iv) If a rubric for a word in your mind (or in the patient's language) cannot be found ,
refer to the cross-references at the end of the Chapter in question, to find out the
equivalent rubric; or else a synonymous or analogous rubric may take its place. For
example, for 'Obstinate' see 'Headstrong'; for 'haughty' see 'proud' (p. 230-235), for
'menses delayed', see 'tardy at puberty' (p. 677), for 'shooting in perineum', see 'tearing'
(p. 619), and so on.
PAGE 21
(v) For purposes of repertorisation, remedies in CAPITALS carry four marks; those in
bold type carry three marks, the next rank in italics carries two marks. The lowest ranking
remdies, in ordinary roman type, carry one mark.
(vi) It is believed that you can identify the correct names of remedies from their
abbreviations given in the Repertory, such as Arn. for Arnica; Berb. for Berberis vulgaris;
Cam. for Camphor; Can. for Cannabis sativa; Plb. for Plumbum metallicum; Tarx. for
Taraxacum; Seng. for Senega; Hyds. for Hydrastis; Lycps. for Lycopus verginicus; Par.
for Paris quadrifolia; Cep. for Allium Cepa; Mar. for Marum varum teucrium; Men. for
Menyanthes, Par. b. for Pareira brava; Senec. for Senecio Aureus, and so on.
 (vii) The Repertory contains a detailed index at the end, and the page numbers given
there, compared with pages of different Chapters or Sections will help you to locate the
desired rubrics in the relative Chapter. Nevertheless, an alphabetical list of various
important subjects is given elsewhere in this booklet for your convenience.
(viii) No repertory can claim perfection. Boger-Boenninghausen has some useful
features which Kent's repertory does not have. The useful features of Kent are not found
in Boger-Boenninghausen, and so on. It is, therefore, advisable to cultivate familiarity
with more than one repertory (such as Kent's , S.R. Phatak's, Boericke's, Boger's
Synoptic Key, etc.) and make appropriate enteries (or cross references of page numbers)
in the repertory which you use constantly. This will ensire that, when in need, you do not
miss the resuired rubric or remedy, wherever it may be. Make it a habit to refer to more
than one Repertory in every difficult case, and you will sonn become a successful
prescriber.
PAGE 22
(ix) Whenever you read a remedy in the Materia Medica, check up if its important
symptoms are entered in the Repertory. If they are not already there, make up the
omission by an appropriate entry in your copy. This exercise in your spare hours will
fortify your confidence in the Repertory (as there are very few or rare omissions), and
also enhance your ability in using it to find the simillimum in all types of cases. You will
find a number of such additions given along with the Cross References to Rubrics in
another Section of this booklet.
(x) Finally,to be a successful practitioner of Homoeopathy, it is essential that you also
master the various other aspects of this system (besides repertorisation), viz, its
fundamental philosophy and principles, comparative value of symptoms, how to study
the Materia Medica from the Repertory and the Repertory from the Materia Medica, how
to select the potency and decide on the repetition of the dose, how to manage the case and
follow it up with appropriate remedies each time it comes to you, the importance of a
knowledge of Chronic Miasms, the use of Nosodes and prophylactics, etc. There is one
book which will guide on all the points , viz. "Introduction to Homoeopathic Prescribing"
by Mr. S.M. Gunavante 1. This book is written in a simple, easily comprehensible style
and what is more, it is a comprehensive digest of all that is essential in the teachings of
masters as regards the philosophy and practice of Homoeopathy.
A few hints on taking the case
Taking the case fully and correctly is of critical importance as the selection of the
curative remedy will entirely depend on how efficiently the case has been taken.
Hahnemann has given detailed instructions on this subject in Aphorismsm 84 to 99 of the
Organon, and Boger too has given important guidelines in his Preface to the Repertory.
Careful perusal of this Preface again and again is strongly recommended. However, a few
general hints are given below for ready reference:
(1) Know well all that a good physician ought to know,viz., anatomy, physiology,
knoxledge of diseases (their disturbed physiology and pathology), and above all,
Homoeopathic Philosophy as well as the characteristics and the curative range of
remedies. Thorough familiarity with the rubrics in all their details (e.g. , whether agg. is
while eating a small quantity, etc.) will go a long way to help you in taking the case fully
and correctly.
PAGE 23
 (2) Be a close observer when the patient comes to you or you visit him. Use your senses
of sight, hearing, smell and touch with alertness. The objective symptoms, of which the
Repertory contains many, are as necessary as subjective ones, being a part of the totality.
(3) Do not neglect the physical examination of the patient - palpitation, percussion,
auscultation, pressure and touch at the appropriate spots may reveal important clues to
diagnosing the nature and depth of the disease. Where necessary this should be
supplemented by pathological reports, X-ray report, etc. Proper diagnosis helps us in
selecting the remedies appropriate to the stage and depth of the ailments, as remedies
vary in pace, depth and stage of applicability. Sometimes, it is useful to "anticipate" and
administer a remedy taking into account the prognosis (course and speed).
(4) Explain to the patient that selection of the Homoeopathic remedy depends upon all
the symptoms experienced by him in body and mind, even his dreams - no matter
whether he considers them to be important or not. Impress upon him that the should
closely watch all his symptoms, and more especially the conditions which aggravate or
ameliorate them, and reveal them to you, if not now, at least during his next or
subsequent visits.
(5) (a) Avoid leading questions that suggest answers to the patient.
(b) Do not ask direct questions that can be answered with a "Yes" or "No".
(c) Do not ask alternating questions, i.e. , suggesting alternative replies. Ask questions
which contain at least two or three alternatives.
PAGE 24
(d) Confine yourself to one symptom at a time; get it complete as described in the next
para. Do not skip from one symptom to another at random.
(6) Get every symptom complete in four respects, as far as possible, viz.,
Location of complaint, with its direction of extension, if any.
Sensation or the kind of pain, distress, etc. with its intensity.
Modalities, i.e. , Circumstances which aggravate or ameliorate the complaint, now and
when they occur.
Probable Causation of the complaint.
(7) General symptoms, those pertaining to the patient as a whole, and the definite
reaction of the man himself are Most Important. They include Aggravations and
Ameliorations, his marked Cravings and Aversions (especially if changed by illness, or if
unusual) and above all his Mental symptoms if marked or as changed by illness. They all
point to the man himself and are grand Generals. The same modality found in three or
more symptoms becomes a General.
(8) All the Concomitant symptoms (i.e. , those which belong to a system other than of
the principal ailments, but coexist with it) should be carefully elicited with their
modalities and sensations. Just as a symptom is incomplete without the modalities which
modify it, the totality is incomplete without the concomitants.
(9) Symptoms which Hahnemann called "striking", strange, peculiar and unusual" are of
great value in directing our attention to a few remedies; however, by this Hahnemann did
not mean Key-note prescribing. He did not ignore any symptom in making a prescription.
(10) Note down all details of the case. This record is all-important. From it alone we can
know the order of appearance of symptoms and once again get the original "picture" of
the case whenever needed, and compare it with the changing "picture" under treatment
from time to time.
 PAGE 25
(11) Never have any preconcieved ideas as to what remedy the patient will need; also
avoid questioning along the lines of a remedy; such questioning may bias the patient. (If a
remedy comes to mind, make a note of it in the margin).
(12) Get a good picture of the family history and of the hereditary tendencies.
(13) Get a record, with dates of the past illnesses of the patient-whether he has "never
been well since" any event, such as grief, disappointed love, falls and injuries, fright
typhoid, bronchitis, etc.; whether vaccination or BCG shots were "taken" (i.e. , produced
inflammatory reaction); such shots, especially if not "taken" are harmful.
(14) Let the patient tell all he knows of his case in his own words; listen carefully; do not
interrupt his thoughts (unless he digresses). Record his symptoms in his own words as far
possible (while simultaneously listening). Leave space between the lines or in the right
half of the sheet for filling in his answers to the question you will ask after he has
(seemingly) exhausted his story.
(15) Follow the Golden Mean: A remedy that has the more striking, unusual and peculiar
signs and symptoms and in addition, covers symptoms of the chief complaint as well, i.e.
, the Generals and the Particuliars (in other words the Totality of the case), will be the
Simillimum.
(16) Mental disposition and Emotional make-up come last in case-taking, after you have
secured the confidence of the patient by the earlier questioning. By this time he will be
more communicative. Ask questions sympathetically, e.g. , Have you had any shocks?
Grief or disappointments? Do you get irritated after some mental strain, or at trifles? How
do you react if you cannot get things to your liking? Any tensions in business or family
atmosphere and how do they affect you? etc, etc.
(17) In chronic cases, it is essential to take into consideration the general symptoms
(pertaining to the whole being of the patient), for without strong Generals we cannot hope
to cure.
PAGE 26
(18) In acute cases, limit yourself to the acute condition alone. What the patient or his
attendant narrate spontaneously, plus your own close observation and questioning will
yield the needed symptomatology.
(19) A form of Questionnaire is given as an Appendix. Have it before you while taking
the case to make sure that you do not overlook to elicit information on any relevant point.
First talk (and listen) to the patient to put him at ease. Begin taking notes only after that,
and while doing so note down his chief complaints first. After doing so, mention each
part of body from head to foot and ask if he has any complaints there. By following this
procedure you, will not overlook any aspact, and the patient will be reminded to come out
with information which he would have overlooked to tell.
Repertorisation- step by step
1. Need for a Method of Repertorisation: We shall now discuss how the actual work of
repertorisation should be done. The object of repertorisation is two-fold: (1) to get the
correct curative remedy and (2) to get it with the least possible expenditure of time and
effort. These objectives can be fulfilled if we follow a systematic, logical and method
based on the fundamentals of Homoeopathic philosophy and practice. Without such a
method we are apt to go wrong.
2. It is presumed that you have "taken the case" as fully as possible. Unless you have
done so, it will be futile to expect the Repertory or even the Materia Medica to help us.
3. Now, from the case taken we must select the characteristic symptoms of the case for
reference to the Repertory. different master-prescribers have placed varying emphasis on
different class of symptoms in this matter. For example, Dr. Kent's advice is to take
strong mentals as the first step, the Generals being the second step, the Particulars (local
symptoms) being the third step which will provide confirmation of the remedy yielded by
the first two steps. Dr. Boenninghausen's conception of totality is to take the location,
sensation, modalities and concomitants together without distinction, as well as the
mentals if strong and well-marked. According to him, modalities are the most decisive
modifiers of the characteristics, so much so that a remedy indicated by all other
symptoms, but which does not agree with the modalities should be discarded. The school
led by Guernsey, Lippe and Nash has found "Key-notes" to be valuable in suggesting the
most likely remedy, the accuracy of which (in relation to the remaining symptom) should
be got confirmed by a reference to the Materia Medica Dr. H.C. Allen stressed the need
for the three-legged stool (at least three characteristic symptoms or key-notes) as a sound
basis for the prescription. Dr. Gibson Miller has a advised the use of "hot and cold"
remedies as the first step in the eliminative process. Experience also shows that even
pathological conditions (rubrics) should not be neglected, especially when there is a
paucity of characteristic symptoms.
PAGE 27
4. The art of repertorisation lies in reconciling and getting the benefit of one or more of
these viewpoints, depending upon the nature of the case before us, and the characteristic
symptomatology we have been able to observe and elicit. It is well to emphasise that the
accuracy of the remedy emerging from repertorisation will depend upon the correctness
of our judgment in selecting the rubrics for repertorisation.
5. It is the unanimous opinion of leaders, however, that the symptom of the disease that
may be of diagnostic and prognostic value, which are common to the diesase as such,
have to be scrupulously kept out of consideration in our search for the curative remedy.
Their positive value lies only in the fact that, when separated, the remaining symptoms
are those which are characteristic of the individual sufferer. Fever and cough being
symptoms of every case of pneumonia cannot guide us to the remedy, whereas the fact
that the stitching pains in the chest are aggravated while breathing or on motion, or are
ameliorated by lying on the affected side-symptoms which fall outside the "diagnostic" or
common sphere are characteristic of the patient. Likewise, one patient may have craving
for cold drinks, while another may be thirstless.
PAGE 28
It is these uncommon, striking, strange, rare and peculiar symptoms (which have no
relation to the diagnosis) that help us to distinguish the curative remedy from other
remedies, either known to have cured cases of pneumonia in the past or otherwise.
6. With these few hints on the evaluation of symptoms, we shall present a few methods
of repertorising, in a step by step procedure. Resort to one or the other of these,
depending upon the case, should help us to select the curative remedy quickly and
accurately.
Step by step procedure
7. (i) Make a list of the characteristic symptoms: After taking the case, arrange the
characteristic symptoms of the patient on a separate sheet of paper. The strongest of the
symptoms (in the class of Modalities, including strange, rare or peculiar symptoms,
mentals or sensations) should appear first in the list, each outstanding symptom being
followed by the next strongest. The concomitants should then follow. The locations (and
especially skin conditions such as warts, which are but expressions of the deranged inner
vital force) should appear last. Causations, such as concussion, suppressions, fright, grief,
wetting, exposure to cold winds or sun, should be classed as first-class modalities.
Another class of symptoms, which may also be taken into account but last of all is the
pathological symptom, as Apoplexy, Asthma, Bronchitis, Chorea, Convulsions,
Diphtheria, Tumours, etc. We cannot do without these in relevant cases and sometimes,
they may help us considerably in the choice of the remedy.
(ii) Keep a good number of slips handy, for use as books-merks.
(iii) Next, find the Repertory rubrics corresponding to each one of the symptoms listed in
(i) above, insert a book-mark at the relevant page (on your side of the book), and enter
the page number on the left side or, before each rubric. As you do so, make a mental note
of the high grade remedies which more or less repeatedy appear in one rubric after
another and are therefore likely to emerge as the curative remedy, (asort of guess-work
before repertorisation is completed).
Note: In selecting the rubrics, the following points should be born in mind:
PAGE 29
(a) Prefer a larger and general rubric to a smaller and specific one. For example, take the
whole rubric, "Fearsome, anxiety.." (21 lines, p. 200) instead of "Fear eating after" (2
lines, p. 201); or instead of "Fear of man" (3 lines, p. 201). Take "thirst (20 lines, p. 480)
instead of "diarrhoea, with" (one line, p. 480). However, if the specific rubric is
considered apt in a case, better take the remedies mentioned in it also (along with those in
the general rubric) if they do not appear in general rubric already.
(b) The sensations (such as burning, throbbing, stitching) given under various anatomical
regions should be compared with the corresponding sensations given in the Chapter
"Sensations and Complaints in General", and the remedies given in both places should be
taken together. Do not sacrifice a general remedy to a local one.
(c) The aggravations and Ameliorations in general (p. 1103-1153) should take
precedence over those given at the end of the different regions of the Repertory. If a
remedy appears in the former and not in the regional section, it should not be ignored; if
it appears in both places, its indication is strengthened; if it appears in the regional section
but not in the general, it should be taken along with other remedies in the General
Chapter. A weak regional modality may be sacrified in favour of a strong general one.
Compare for example, "Reading Aggr." at p. 347 and 1136.
(d) If it is felt appropriate to take two or more allied rubrics togethes to present a
condition, take them in as two separate rubrics with their respective remedy-values. As
one gains experience, one will be able to select the appropriate remedies with high marks
from all of them together (as for one rubric only).
(iv) Equip yourself the first and most important step of arranging the characteristic
symptoms in the oder of their importance, our next objective is to minimise the time and
effort involved in the detailed repertorial analysis, preceding the final step of synthesis.
For this purpose, we resort to the device known as elimination. This means elimination
from consideration those remedies which, ab initio, are not similar to the case in hand,
and taking for consideration only that group of remedies which appear to be more of less
suitable. Different methods of "elimination" can be followed so as to confine our
attention to a small group of the most likely remedies, from which to select the
simillimum. A few methods are described below:
(i) Using One Eliminative Rubric: As the first rubric noted in your list would have been
the most characteristic and prominently observed symptom of the patient, take the
remedies occupying the top three grades in the rubric as the most suitable group of
remedies to begin with. Enter that rubric (with its page number) in the space meant for
rubrics at the top of the chart. Then, enter the ranking marks of the (4, 3, or 2) against
each of the remedies under column 1 in the chart as shown below, This done, shift the
book-mark to the other side of the Repertory (just in case you feel the need to refer to that
rubric again). Now, take the second rubric in the list and following the logic of
"elimination", enter in the chart, in column 2, marks for only those drugs against Rubric
2, which are already entered in Col. 1. Continue this process for the remaining rubrics.
By this process, you will not enter in the chart those remedies against (even if ranking
very high, if they do not appear against the first rubric. In this way, completet the
repertorial analysis for all the selected rubrics in your list. Here is an example:
Rubrics:
1. Cough, Agg. lying on left side: 714 (modality)
2. Restlessness 917 (modality)
3. Anxiety 192 (mental)
4. Expectoration, sweetish 733 (particular)
5. Amel. lying on abdomen 1129 (modality)

Rubric 1 2 3 4 5 Total
Acon. 3 3 4 2 - 12/4
Ipec. 3 2 3 1 - 9/4
Phos. 3 2 3 4 1 13/5
Puls. 3 2 3 2 - 10/4
Thuj. 2 2 1 - -
Kali C. 1 2 1 2 -
Lyco. 1 3 3 1 -
Merc. 1 4 3 1 - 9/4
Sep. 1 4 1 2 2 10/5

PAGE 31
Phosphorus, administered accordingly, proved to be the curative remedy.
(ii) Combining Two Eliminative Rubrics: In method (i) the choice of the first eliminative
rubric acquires great importance since, if a wrong rubric is selected, we may thereby
eliminate (throw out of consideration) a whole lot of remedies including the really
curative one. To avoid this danger and make the repertorial study more fool-proof, and
also time saving, we may slightly vary the method. In this method we combine two of the
most important rubrics and take all the remedies common to both of them in any of the
first three ranks, the only exception being the Polychrests which may be included even if
they appear in only one rubric or in a low rank. The first rubric may be the most
pronounced modality (such as intolerence of heat, or oversensitiveness to noise, or
aggravation from lying) and the second one may be a strong modality or mental
symptom. While recording the remedies with their marks, to save time, we may visually
look at each remedy in the shorter of the rubrics and enter it in the chart only if it is found
in ther other larger rubric as well (except of course the Polychrests which should be
entered even if not common). Enter their respective marks in Columns 1 and 2.
Thereafter, proceed to work out the remaining rubrics by entering the marks only for
those remedies which are already recorded.
(iii)Using Common Remedies in Two Important Rubrics of Different Classes: A
variation of method (ii) involving considerable saving in time, is to take the remedies (in
the first three ranks) common to two leading rubrics, preferably of different sizes, care
being taken to see that they come from different classes in the symptom evaluation. For
example, Modality plus Mental: or Mental plus sensation; or Mental plus Concomitant;
or Modality plus Sensation. (Never take a "Location" rubric for eliminative purposes).
Thereafter, we proceed to enter marks only for those remedies which appear against the
remaining rubrics leaving out all other remedies found in those rubrics.
PAGE 32
(iv) Using the Smallest Rubric. If in your list of rubrics you have one with the smallest
number of remedies (provided the rubric is one that is an indispensable part of the
totality, and usually a key-note, and cannot be left out) this rubric may be used as an
eliminative symptom; the remaining rubrics may then be worked out only in respect of
the remedies found in this rubric. This however, is not quite a safe method, and it may be
advisable to check its results with those method (ii) or (iii).
(v) Combining Three Small Rubrics. The danger involved in using only one small rubric
as an eliminative symptom as described in (iv) above, can be avoided and greater
confidence in the accuracy of our conclusions ensured if we take the remedies common to
three of the comparatively smaller rubrics, preferably of different classes, provided they
are indispensable for the totality. The remedies common to the first two rubrics may first
be entered in the chart by visual comparison, and then any additional remedies common
to one of these two and the third rubric (besides the common remedies already entered)
may also be entered. The remedies which appear in at least two of the three rubrics my
now be taken at the eliminative group, and the rest of the rubrics worked out lonly for
those common remedies. This is a safer and, yet, less time-consuming method.
(vi) Use of "Pathological" Symptoms as Eliminating (or Confirmatory) Rubrics. Resort
to this method is not encouraged, especially because very few remedies could be pushed,
in their provings, to the point of producing these symptoms without danger to the lives of
the provers. Any remedy in the Materia Medica may be indicated in any disease state or
symptom complex, and a remedy may cure a case which is not listed in the diagnostic or
pathological rubrics in the Repertory. Hence, limited reliance can be placed on the
"eliminative" use of these rubrics in repertorisation. Yet, the prescriber in sometimes left
with no alternative but to fall back on their use when he is not able to get any
characteristic symptoms relating to the patient as a whole, even those belonging to the
patient's past, which could have guided to the remedy. On such occasions, these rubrics
are of invaluable help.
PAGE 33
There is another way in which these rubrics can prove useful and that is to confirm the
choice of a remedy already arrived at on the basis of the totality of symptoms; but the
usefulness of this procedure, it should be noted, is again restricted for the reason already
mentioned.
In other words, while a "pathological" rubric may be used to confirm the choice of a
remedy, the absence of a remedy in the pathological rubric should not, by itself, lead to
discarding that remedy if it has been arrived at after detailed casetaking and careful
repertorisation.
(vii) It would be a good exercise if a few cases are repertorised by following each one of
the above methods; and comparing the results of different methods in the same case.
Such an exercise will help you to master the art of rapid and accurate repertorisation.
(viii) As one gains more and more experience, he would be able to find the curative
remedy guided by only a very few most characteristic, strange, rare or peculiar
symptoms-an ideal actually attained, repeatedly demonstrated by master prescribers. We
should persist in our endeavours in that direction.
9. Synthesis, the Final Tally. The total number of marks obtained by each remedy in the
analysis done according to one or the other method under Para 8 above should now be
written down in the column for 'Totals'. The number of rubrics covered by each remedy
will then be written below the total marks, as a denominator. For example, 28/9 would
mean 28 marks for 9 rubrics.
PAGE 34
10. Judgment about the curative remedy. The remedy carrying the highest number of
marks and also covering all, or most of the rubrics, will normally be adjudged the
simillimum. If more than one remedies come out equally strongly, a close study of the
complete Materia Medica will be more essential than ever for a decision between the
competing remedies. In such cases, one should also look for factors as may not have
entered into the repertorisation. For example confronted by a tie between Lyco, and Sepia
in a case of chronic gastritis, the decision was in favour of Sepia which was the
constitutional remedy of the mother. In another case, a tie between Puls. and Phos. was
resolved in favour of the former, as the patient had previously undergone an operation for
hydrocele.
It may sometimes be even necessary to enquire into additional symptoms which may
lend support to one or the other of the competing drugs, which symptoms may not have
been brought out at the outset.
11. It is important to bear in mind that the simillimum need not necessarily be the
remedy securing the numerically highest number of marks. The number of rubrics
covered is more important than the number of marks. A remedy carrying slightly less
marks, or not covering one or two rubrics of minor importance, but strongly matching the
leading characteristic or peculiar symptoms, is more likely to be the curative remedy.
12. Dr. Templeton used to advise that while writing down remedies in repertorising, if
one finds an unusal remedy coming through for even one or two important symptoms,
one should check up in the Materia Medica if that could be the indicated remedy. Not
having been fully proved (or fully represented in the Repertory), it may not come through
as the indicated one in repertorisation.
13. It cannot be emphasised too much that no repertorial analysis can lead us, in every
case, to the curative remedy, though it generally takes us very close to it. remedy
selection should not be regarded as an arithmetical work. It is an art in which careful
'case-taking', choice of appropriate characteristic (peculiar, uncommon and therefore
differentiating) symptoms for repertorisation, as well as other factors such as constitution,
personal or family history, miasmatic background, etc. play their part.
14. Materia Medica, the Final Court of Appeal. For the reasons mentioned above, and
also because of human imperfections of one type or another (such as deficiencies in case-
taking, imperfections of the Repertory or incorrect evaluation of symptoms taken up for
repertorial analysis, or incorrect choice of rubrics) it is emphasised that before taking a
final decision about a remedy emerging from repertorial analysis, the remedy should be
studied from a complete Materia Medica to satisfy oneself about the general
correspondence of the genius of the remedy with the characteristic symptoms of the
patient. The Materia Medica will ever remain the Supreme Court of Appeal, to get the
best results.
15. Benefits of Using the Repertory. As we get habiatuated to repertorisation, it is
observed that every case of repertorisation widens our comparative knowledge of the
remedies in respect of specific symptoms. Our knowledge of the range of their action to
cover a variety of complaints also increases. The 'discoveries' will, in due course, sink
into our subconscious and enhance our mastery of the Materia Medica (much more than a
direct study of Materia Medica would), and raise our ability to select the curative remedy
accurately and quickly to higher levels.
16. In the words of Dr. J.H. Clarke, "In homoeopathy, there is a constant demand made
on the faculty of comparing. Cases must be compared with remedies, and remedies with
each other...in order for a successful comparison of remedies to be made, it is necessary
first of all to individualise them...'
PAGE 36
There is no other easy yet sure way, except through the Repertory, to achieve each one
of these objectives, viz., comparing the case with remedies, comparing remedies with
each other and ensuring that the remedy suits the individual case.
17. Another benefit of using the Repertory is that it imparts efficiency to our case-taking,
and helps us better to individualise the symptoms. Familiarity with the various rubrics in
the Repertory enables us to immediately recognise obscure sensations, modalities, etc.
when the patient narrates her case. Without such familiarity, we are apt to pass by or
overlook those peculiar symptoms, which, it is well known, greatly facilitate our search
for the remedy.
18. The more we get accustomed to repertorisation, the more our comparative
knowledge of remedies (and the Materia Medica) will grow. Gradually a stage will come
when this comparative knowledge itself will make repertorisation a job of a few minutes,
as against the half to one hour one may have to spend in the early stages.
19. Among the group of remedies yielded by careful repertorisation work, there will be
remedies occupying the second, third or even fourth rank. Some of them may be called
for at some stage in the course of treatment of the patient.
20. The repertorised record will facilitate further management of the case. If the
symptom picture changes somewhat; we have only to add the new symptoms or ignore
the symptoms no longer present, as the case may be, in the Record and consider the case
afresh since a good many of the earlier recorded modalities, etc. pertaining to the
constitution of the patient would still be valid.
21. Finding the simillimum (the subject of this book) is, of course, the first and most
important task. The two problems which follow next are:
 (1) Selection of the potency.
(2) Deciding on the frequency of repetition of the doses.
PAGE 37
When the three aspects, viz., simillimum, potency and repetition, are combined
efficiently, we may be sure of the case fulfilling Hahnemann's ideal of progress to a
gentle, rapid and permanent cure...The problems of potency and repetition are beyond the
scope of this book, and a detailed discussion on them will be found in my book, "Bring
up Healthy Children with Homoeopathy". If the prescriber follows the rules laid down by
the masters on the basis of their experience and draws lessons from each case he treates,
he will soon master this art to perfection.
PAGE 38
Repertorial study of actual cases
The following cases of actual repertorisation work are intended to be a practical
demonstration of the various points discussed so far. Cases prescribed for by different
physicians are included to illustrate the universal applicability of Boger-
Boenninghausen's Repertory.
Case 1: Gastritis-Puls.
Ref. Hahnemann's Lesser Writings. Journal of the Hom. Med. association of India,
March-April, 1978.
We have chosen to present this ease first in order to show how, by what process of
thinking, the great Hahnemann himself arrived at the simillimum. The line of his
argument is shown below in a chart for easy comprehension. Please read a long the line
horizontally.

Symptoms are covered but they do not have the following symptoms
Sour vomiting Stram and Nux-v. at night.
Sour vomiting at night Valer and Cocculus sour stuff.
Sour vomiting at night Ferrum the other symptoms.
Head, hollow, empty Ignatia the other symptoms.
Oversensitiveness of organs (noise) Nux-v., Ign., the other symptoms.

Gentle disposition is characteristic of Puls., and it has all the symptoms, viz., sour
eructations and vomiting, wors ein the evening and night; sense of overloaded stomach;
head vacant; oversensitiveness to noise ...Pulsatilla was thus adjudged as the simillimum.
PAGE 39
Now, let us analyse these symptoms with the help of the Boger-Boenninghausen's
Repertory. (Figures within brackets are page numbers of the Repertory).

Calc. Cham. Chin. Lyc. Mg.C. Nux. Nat-p. Pho. Pul. Rob. Sul.
(505) Sour vomiting 3 4 3 4 3 4 3 4 4
3 4
(493) Eructation 4 4 3 4 4 4 3 4 4
3 4
(1104) Agg. Evening 3 3 1 4 4 1 - 4 4
- 3
(1104) Agg. Night 3 4 4 3 4 2 x 3 3
x 3
(262) Head, hollow 1 - - - - 1 x 3 4
x -
(361) Sensitive to Noise 3 4 2 4 2 x 4 3
x 3
(519) Stomach overloaded, as if - - - - - 3 -
- 3 - -
(202) Gentle disposition - - - 3 - - - -
4 - 3

Comments : Different people will draw different conclusions from the above process of
thinking led to the simillimum, viz. Pulsatilla. Some will stress that Hahnemann started
with location, sensation and modalities, ending finally with the mental symptom last only
to point out that it, more often than not, covers all the symptoms or to show it constitues
an important differentiating factor. Some will say that taking mentals first not only speeds
up the work but also leads to the correct remedy. It will be admitted that we are, and
should be, more concerned with accurate results than speed. To be accurate we have to
make sure that the mental symptom does indeed cover the other symptoms. We cannot
take it for granted that it will invariably cover the whole picture. Moreover, mental
symptoms are not easy to eleicit so that we could rely on them completely. Does not this
position make it incumbent on us, in the interest of accuracy alone, regardless of speed, to
start from other general symptoms of the patient then the mentals, and take the mental for
confirmation as Hahnemann seems to have done in this case ?
PAGE 40
It is worthy of note that in the above repertorial analysis Pulsatilla wins out even if we
exclude the mental. We know we are treading controversial ground, but have to point out
the facts so that poeple do not mislead themselves, select wrong remedies and not only
lose faith in Homoeopathy but become bad examples for others as well. The true
Hahnemann way of selecting the remedy is to take the Totality of Characteristic
symptoms (it does not matter where you start or where you end) and not to forget that
each and every item of the totality (i.e. , all the features of the elephant taken together)
takes us nearer the simillimum-and of course mental symptoms if well-marked, are
undoubtedly an important aspect ot Totality and of great value as a differentating factor.
This is the Boger-Boenninghausen approach; and the object of this booklet is to show to
those who will see, that this approach and the use of the Repertory based on this approach
do almost invariably lead us to the simillimum easily and quickly, which is the fond hope
of every Homoeopathic prescriber.
Case 2 : Regurgitation of ingesta-Phos.
Ref.: Dr. B.D. D.
Symptoms :
1. Regurgitation (495)
2. Regurgitation of ingesta (???
3. Desires cold drinks (476)
4. Fat food agg. (1120)
5. Cold food amel. (1120)
Rubrics Numbers

1 2 3 4 5 Total
Ant.t. 4 - 1 1 2
Carbo veg. 4 3 - 4 2
Lachesis 4 3 - - 3
Nux-vom. 4 2 1 2 1 10/5
Phos. 4 4 3 2 4 17/5
Sulph. 4 4 1 4 1 13/5

PAGE 41
-Comments : Leading remedies in Rubric 1 were taken as the eliminative group.
Three doses of Phos. 30th potency, four hourly, cured the case.
Case 3 : Child, 15 months. Obstinate Constipation- Sepia. Ref. Dr. B.D. D.
Rubrics : 1. Constipation from hard faeces (584)
2. Thirstlessness (481)
3. Knotty stools (588)
4. Urging to stool (591)

1 2 3 4 Total
Camph. 3 4 - 2
Conium 3 2 - 4
Nux-vom. 4 2 2 4 12/4
Opium 4 2 4 4 14/4
Rhus-t. 3 2 - 2
Sepia 4 4 3 4 15/4
Staph. 2 3 - 2
Sulph. 4 2 4 4 14/4
Verat-A. 3 2 - 2

Comments : Remedies common to Rubrics 1 and 2 and carrying 4 and 3 marks only
where taken as the 'eliminative' group of remedies.
Sep. 30 t.d. s. cured the case in two days.
Case 4: Mrs. M., age 00. Cough, harassing at night-Phos.
Rubrics : 1. Cough, aggr. by lying on left side (714)
"excited by tickling in throat (717)
"aggr. at night (708)
"Expectoration salty (733)
"aggr. in open air (709)
PAGE 42
 1 2 3 4 5 Total
Acon. 3 4 4 1 -
Bry. 1 4 2 - 1
Ipec. 3 4 2 - 2
Lyco. 1 3 2 4 1 11/5
Merc. 1 3 4 2 -
Phos. 3 3 4 4 3 17/5

Comments : Remedies common to the first two rubrics were taken to begin with
provided thay gave a total of four marks at least.
Phosphorus which ranked highest relieved the cough from the first dose of 30th potency.
Four more doses were given at intervals of 6 hours to prevent recurrence.
Rubrics : 1. Urination painful (627)
2. "scanty, little at a time (628)
3. Burning in Urethra, at close of urination (634)
4. Hurried urination (626)
5. Odour fetid (621)

1 2 3 4 5 Total
Cannab. 3 4 3 - -
Canth. 4 4 3 - -
Nit-ac. 3 2 1 4 4 14/5
Nux-v. 4 4 4 - -
Sars. 2 3 2 - -
Staph. 3 4 - - -
Sulph. 4 2 - 1 4 11/4

Comments : Remedies common to the first two rubrics were taken provided they carried
at least five marks together.
Nitric Acid, 30th potency t.d. s. for two days relieved the complaint completely.
Recurrence after 10 days was met by Nit. ac. 200, two doses.
PAGE 43
Case 6 : Mrs. Shobha, age 37 - Obstinate blocking of root of nose, especially in winter ;
hard balls blown out weekly without relief. H/o two unsuccessful operations. -Kali-bi.
Rubrics : 1. Root of nose (366)
2. Discharge hardened (370)
3. Swelling (377)
4. Sense of smell blunted (380)
5. Aggr. in winter (1153)

1 2 3 4 5 Total
Borax1 1 1 - -
Conium 1 3 1 - 2
Kali-bi. 3 3 2 1 1 10/5
Lach. 1 1 1 - -
Phos. 1 1 3 - 2
Sepia 1 2 3 - 2
Staph. 1 1 1 - -

Comments : As before, remedies common to the first two rubrics were taken. As the
number of remedies with 3 or 4 marks were few in both the rubrics, remedies with even
one mark were taken, so long as they were common.
Kali-bich. justified the high ranking it got in repertorisation by relieving the patient 80%
in a week, with 200th potency, a dose on alternate days, five doses. A dose of Kali-bich
1M completed the cure.
Case 7. Master K., 14 years.-Eczema, left ankle-Lyco. Ref. : Dr. B.D. D.
Rubrics :
1. Agg. Warmth (1150)
2. Head strong (203)
3. Memory weak (211)
4. Obese (911)
5. Indolence (208)
6. Agg Light (1127)
7. Desires sweets (477)
8. Desires warm food (477)
9. Flatulence (576)
10. Eruptions, dry (951)
PAGE 44

1 2 3 4 5 6 7 8 9 10 Total
Ant.c. 3 3 - 3 1 3 - - x x
Calc.c. 1 4 2 4 1 4 1 - 2 4 23/9
Cham. 2 4 x 2 - 2 x x x x
Cina 2 4 - - x x x x x x
Ignat. 1 3 2 - 2 3 - x x x
Lach. 4 1 4 1 3 1 - - x x
Lyco. 2 3 4 3 2 3 4 2 4 2 29/10
Merc. 1 3 3 2 - 3 - x x x
Nit-ac. 1 3 2 - 3 2 - x x x
Nux-v. 1 4 3 - 4 3 1 - x x
Silicea 1 3 4 2 - 3 - x x x
Sulph. 3 4 3 4 3 2 - 3 2 27/9

Comments : A strong constitutional general and a marked mental symptom were taken
together and the remedies common the both of them were taken (provided each remedy
carried at least a total of four marks, so as not to run the risk of throwing out the
simillimum by too much restriction of choice). It will be observed that a number of
symptoms pertaining to the patient as a whole predominate in this analysis, and there is
only one rubric relating to the skin. Lycopodium which covered all the symptoms and
also secured the highest number of marks, thus was a constitutional remedy which cured
the eczema and also improved the patient's health generally.
Case 8: Kum. M.S. , age 15. Dysmenorrhoea-Phos.
Ref. : Dr. B.D. D.
Rubrics : 1. Agg. at the start of menses (681)
2. Thirst, for cold water (476)
3. Very fond of sour things (477)
4. Unable to sleep after waking up (981)
5. Menses, bright red (677)
PAGE 45

1 2 3 4 5 Total
Acon. 4 3 4 - -
Arg-n. 3 2 1 - -
Bry. 2 3 - - 2
Caust. 3 1 - 1 -
Cham. 3 3 2 - -
Graph. 3 2 - - 2
Ign. 2 3 2 - -
Phos. 3 3 2 4 3 15/5
Puls. 3 2 3 2 1 11/5

Comments : Remedies common to two peculiar symptoms characterising the menses

were taken as eliminative group of remedies. Note that three concomitants not connected
with the menses helped towards selection of the simillimum, Phosphorus, which cured
the case.
Case 9 : -Mr. Rao, age 42-Unsteady gait of two month's standing which other system had
failed to cure- Agar. Ref. : Dr. B.D. D.
Rubrics :1. Stumbling, uncertain gait (868)
2. Uncertain, unsteady gait (855)
3. Mind, intoxicated, as if (208)
4. Reeling, staggering gait (916)
5. Aggr. after motion (1132)
6. vertigo (239)
7. Hips- Lower Extremities (842)
8. Weakness (873)

1 2 3 4 5 6 7 8 Total
Agar. 3 2 2 4 4 2 4 23/8
Arg-n. 3 1 - - x x x x
Bar-c. 3 2 - - x x x x
Cocculus 1 2 1 4 2 2 2 - 14/7
Secale 1 2 - 3 - 2 x x
Stann. 1 1 - - 4 1 3 3 13/6
 Comments : As there are four different rubrics on the chief complaints, it was thought
advisable to take common remedies from them first. A modality and three concomitants
gave a massive vote for Agaricus which effected a smooth and speedy cure.
PAGE 46
Case 10: Mr. R.S. T., age 48-Ankylosis of spine (dorsal)-lyco. Ref.: Dr. B.D. D.
Rubrics : 1. Aggr. Sitting erect (1141)
2. Aggr. Rest (1137)
3. Aggr. Lying down (1128)
4. Aggr. 4 A.M. (p. 19 of Boger's Synoptic Key)
5. Spine, dorsal (788)
6. Stiffness (792)
7. Memory weak (211)

1 2 3 4 5 6 7 Total
Carb-v. 2 2 2 - 3 4 3 16/6
Cham. 2 3 4 - 2 - x
Coloc. 3 3 2 1 1 - -
Conium. 3 4 4 3 2 - 4 20/6
Lyco. 3 4 4 3 4 1 4 23/7
Saba. 2 4 3 - 2 - x

Comments: The most striking modalities were first taken un and remedies common to
the first two noted as the elimination group. Lyco. 30th for a week and then 200th at
infrequent intervals cured the patient in two months.
Case 11: Mrs., P., age 45-Leucorrhoea and H.B. P. - Puls. Ref.: Dr. B.D. D.
Rubrics:1. Agg. before menses (678)
2. Agg. emotions with anxiety (1116)
3. Heat. partial, in head (1050)
4. Heat, partial in soles (1059)
5. Weeping, tearful (221)
6. Congestion to head (1008)
7. Religious ideas (214)
8. Dreams, pleasant (997)
9. Lies on back (991)
10. Leucorrhoea (687)
PAGE 47

1 2 3 4 5 6 7 8 9 10 Total
Calc.c. 4 2 2 3 4 4 - 4 3 4 30/9
Cham. 1 3 - 1 3 3 1 1 - 2
Coccul. 4 2 - - 1 x x 2 x 4

Ign. 1 4 3 - 4 2 - 2 3 1
Lyco. 4 1 2 4 3 3 2 1 3 3 26/10
Nux-v. 1 4 3 4 2 4 1 3 3 3 28/10
Phos. 3 1 4 3 2 4 - 3 2 3
Plat. 3 3 1 - 3 - 1 3 2 1
Puls. 4 3 3 4 4 3 3 4 4 4 36/10
Sulph. 4 2 3 3 3 4 4 3 4 3 33/10
Verat. 4 2 4 - 3 3 4 2 1 -

Comments : In this analysis locations, sensation, modalities, mentals and concomitants,

all have been represented. Pulsatilla which came out strong not only relieved the lady of
troublesome leucorrhoea but very much relieved her of High Blood Pressure and made
life more pleasant than it had been for quite some time.
Case 12: Mr. K.S. P., age 37. Warts- Phos. Ref.: Dr. B.D. D.
Rubrics: 1. Sensitive (216)
2. Averse to family and c. (193)
3. Hurried (203)
4. Variable mood (220)
Amel. Open air (1105)
Warts (977)

1 2 3 4 5 6 7 Total
Aurum. 1 1 1 3 2 1 -
Calc. 1 1 1 - 1 3 4
Conium 2 1 1 1 1 - -
Lyco. 3 1 - 3 2 - 2
Nat-c. 1 1 1 1 1 2 3 10/7
Phos. 4 2 2 2 3 3 1 17/7
Plat. 3 1 2 3 2 2 -
Sep. 2 3 1 2 1 - 3

PAGE 48
Comments : Marked mental symptoms were used to get the eliminative group of
remedies. It is noteworthy that though Phos. has only one mark for warts, it became the
simillimum and the warts fell off in a short time.
Case 13: Mr. M.T. P., age 27-Sinusitis-Calc.c. Ref.: Dr.B. D.D.
Rubrics: 1. Nose blocked (385)
2. Agg. Cold, Wet weather (1151)
3. Agg. Noise (361)
4. Anger (192)
5. Head, pounding (268)
6. Mucus in throat (453)
7. Vertigo, when rising from bed (244)
8. Zygomae (391)
9. Neuralgic pain (398)
 1 2 3 4 5 6 7 8 9 Total
Calc.c. 3 4 3 3 3 3 1 3 3 26/9
Carb.v. 3 2 1 3 1 2 1 2 -
Dulc. 1 4 - 3 - x x x x
Lach. 2 2 1 2 2 3 - 1 3
Mang. 2 2 1 1 - - x x x
Merc. 1 3 2 1 - - x x x
Nat-c. 4 1 2 3 - 1 - x x
Nit ac. 4 1 1 4 2 - 2 2 3 19/8
Nux-m. 2 3 1 - - x x x
Nux-v. 3 1 4 4 - 3 4 3 4 26/8
Puls. 3 1 3 2 - 4 1 2 4 20/8
Lyco. 4 2 4 4 - 3 2 2 3 24/8
Rhodo. 2 3 - - 2 - x x x
Sil. 4 2 2 4 2 2 2 1 2 21/9
Sulph. 4 2 3 4 4 - 2 -

Comments : A well-taken case, with details of location, sensation, modality, mentals and
concomitants, helped to find the simillimum, Calc.c. , which cured the case smoothly,
gently and permanently.
PAGE 49
Case 14 : Reported by Dr. S.R. Phatak, M.B. B.S. , Bombay, in the Indian Journal of
Homoeopathy, Vol. 1/2, p. 24.
Mr. M.A. J.N. , age 72, passes 5 to 6 semi solid stools; mucus in good quantity after
every stool. condition has lasted 45 years from the time he partook of boiled
(concentrated) milk. Dr. Phatak took the following rubrics from Boger Boenninghausen's
Repertory:
1. Stool: Milk, boiled, agg. : (p. 605) Nux.m. , Sep.
2. Concomitants after stools: (p. 602)-Mucus, Discharge of : Asar, Borax, Calc., ph.,
Grap., Hep., Mag. m, MERC., pho., Sele., Sep., Stann., Thu.
Sepia , wich is the only drug common to both the rubrics was chosen and given, 200th,
TDS. for 3 days. Patient improved steadily (feels well; mucus decreasing. Presenting
complaint of stomatitis also disappeared). On a relapse exactly one month after the first
dose, Sep. IM TDS. for two days. Sep. repeated at infrequent intervals in ascending
potencies as and when the symptoms relapsed. When eventually the CM potency was
reached he was completely relieved.
Case 15: A case of Diphtheritic Bulbar Paralysis reported by an Allopatic graduate and
eminent practioner in Homoeopathic Medicine (Vol. 7/1,p. 18). The symptoms that
guided the Doctor have been repertorised by us here from the Boger-Boenninghausen's
Repertory.
Rubrics:
1. Paralysis of deglutition (454)
2. (Liquids thrown out) Regurgitation through nose (456)
3. Swallowing difficult (456)
4. Voice, nasal (740)
5. Snoring (694)
6. Respiration difficult (691)
7. Agg. during sleep (1141)
8. Emaciation (895)
PAGE 50

1 2 3 4 5 6 7 8 Total
Caust. 4 - 3 - - 1 2 3
Coccul. 3 - 2 - 1 3 2 3
Cuprum 3 2 1 - 3 3 2 3
Gels. 3 - 2 - x x x x
Lach. 3 4 4 3 4 4 1 3 26/8
Lauro. 3 - 1 - 1 2 1 -

Comments: The Doctor reports: After consulting Repertories, I came down to five drugs:
Arg. nit, Caust., Diphtherinum, Gels. and Lachesis. After referring to the other
modalities, ultimately Lach 30 four doses three hourly were given. Next morning the
father of the 6 years old boy patient reported that after the very first dose the boy could
swallow liquids very easily. He slept soundly for several hours. Our comment is, once the
leading rubrics were decided upon, the Boger-Boenninghausen's Repertory would have
quickly confirmed the need for Lachesis in this case.
Case 16: This is a case given by Elizabeth W. Hubbard (Homoeopathic Herald, October
1977), of cracks and fissures on face. The remedy mentioned by her, Nitric acid, has been
worked out by us here with the help of Boger-Boenninghausen's Repertory.
Rubrics:
1. Face, cracked, fissured (405)
2. Anus, fissure of (611)
3. Urine, ammoniacal (621)
4. Thirsty (480)
5. Desires fat (476)
6. Averse to milk (474)

1 2 3 4 5 6 Total
Ars. 4 - - 4 1 1
Carb-v. 4 - 2 3 - 2
China 4 - - 3 - 1
Ign. 4 - - 3 - 4
Merc. 4 - - 4 - 1
Nat-m. 4 3 - 4 1 1
Nit-ac. 4 4 3 3 2 1 17/6
Ver-a. 4 - - 4 - -

Comments: As there are a number of drugs in the highest grade in the first rubric, only
those were taken in the "eliminative" group.
 Case 17: Convulsion-Cuprum- Reported in the Journal of Homoeopathic Medicine (Vol.
2/4), the remedy worked out therein with Kent's Repertory. Here follows the working out
of the case with Boger-Boenninghausen's Repertory.
Rubrics:
1. Convulsions (890)
2. Agg. sleep (1141)
3. Agg. left side (920)
4. Face, dark, dusky (394)
5. Loquacity (210)
6. Upward direction of symptoms (892)
7. Agg. new moon (1132)
8. Shocks, thrusts (930)
9. Aura, left extremity (883)

1 2 3 4 5 6 7 8 9 Total
Ars. 2 4 3 1 1 2 1 - -
Bell. 4 4 1 - 3 4 - 2 -
Cicuta 4 1 1 - - x x x x
Cuprum 4 2 2 2 3 1 3 2 1 20/9
Cham. 4 2 - - - 2 - - -
Coccul. 4 2 1 - 2 - - - -
Ign. 4 3 1 - - 4 - 1 -
Opium 4 4 - 2 - - - - -
Rhe. 3 3 - - - - - - -
Stram. 4 4 - - 4 - - - -
Sulph. 2 4 3 - - 2 - - -
Zinc 4 2 2 1 1 1 x x x

Comments: The common remedies in the first two rubrics were taken first, provided
their total was at least 5. Kent's Repertory does not contain "upward direction" and "agg.
new moon". Boger-Boenninghausen's Repertory covered all the unusual, rare symptoms
of the case and left no doubt as to the correctness of Cuprum as the simillimum.
Case 18: A case of Cardiac disorder (Endocarditis) Rheumatism treated by Dr. J.T. Kent
(Indien Journal of Homoeopathic Medicine, 12/1 (1978) - Aurum.
Rubrics:
1. Rheumatic matastasis to heart (775)
2. Agg. rest (Amel. by motion) (1137)
3. Amel. open air (1105)
4. Craves meat (476)
5. Hungry, very (478)

1 2 3 4 5 Total
Acon. 3 1 2 - 2
Ars. 1 2 1 - 2
Aur. 1 4 2 2 2 11/5
Bry. 2 1 2 - 3
Caust. 3 1 2 - 2
Kalm. 2 - - - -
Lach. 4 2 3 - 4
Puls. 2 4 4 - 4
Spig. 2 1 1 - 2

Comments: All the remedies in Rubric 1 were taken to begin with. Note how Kent, a
master prescriber, selected only five rubrics to get remedy. Note also, how the same
remedy of Kent was arrived at from the Boger-Boenninghausen's Repertory. note,
further, how remedies with even 3 or 4 marks in the first rubric were thrown and Aurum
with lonly 1 mark came through as it has all the five selected symptoms a point which the
need for selecting the characteristic general symptoms which pertain to the patient and
touch him in his depths.
Case 19: Dr. H.A. Roberts, in a highly instructive article "The Finding of Homoeo.
Remedy in Heart Conditions" (see, p. 445) of "Homoeopathic Heritage" Vol. 1977)
stresses that the principles that should guide us in the selection of the curative remedy in
heart conditions are not different from those applicable to other cases, viz. that we should
take the whole condition of the patient into consideration, including concomitants, and
not base our effect on the diagnosis. The following is one of the six cases detailed by him
to illustrate his point, which we have repertorised with the help of Boger-
Boenninghausen's Repertory.
Rubrics:
1. Agg. Deep breathing (1109)
2. Aching, Heart region (precordial distress) (773)
3. agg. Lying on left side (1130)
4. Agg. Ascending steps (1107)
5. Agg. Beginning of menses (678)
6. Agg. Cold air (1105)
7. Agg. Walking, while (1149)
8. Knees (844)
9. Cutting pains (891)
10. Agg. from cabbage (1119)

1 2 3 4 5 6 7 8 9 10 Total
Aco. 4 1 3 2 - 3 1 - 1 -
Bell. 3 1 1 1 - 3 - x x x
BRY. 4 2 3 4 2 2 4 2 2 4 29/10
Merc. 3 1 1 3 3 3 2 2 4 -
Phos. 3 2 4 2 3 3 3 2 3 2 27/10
Rhust. 4 1 - 2 1 4 2 4 1 -

Comments: The diagnosis of this case was "Stenosis of the the value fot he heart of
Rheumatic origin", but this point had no role in the selection of the remedy. the totality of
the symptoms alone led to the selection of the curative remedy; and this selection has
been confirmed here by the repertorial analysis with Boger-Boenninghausen's Repertory.
Case 20: Peritonitis-Ars.-Dr. Edward P. Van Tine, M.D. (Homoeopathic Herald, Sept.
1978, p. 170) Dr. Tine discussed these symptoms in an article while pointing out how to
differentiate one drug from another. In this particular case ha was pointing out that
though many of the the symptoms are common to Arsenicum and Secale Cor., the
symptom better by warmth point to Ars., while worse by heat would lead to Secale. The
symptoms are repertorised here with Boger-Boenninghausen's Repertory to show once
again, how this Repertory can be a wonderful guide even in serious and complicated
cases.
Rubrics:
1. Abdomen inflated (distended) (551)
2. Vomiting, bloody (502)
3. Rectum, bleeding (610)
4. Desires hot food and drinks (477)
5. Agg. from Cold in General (1110)
6. Restlessness mental (214)
7. Burning, internal (886)
8. Thirst (480)
9. Tongue, dry (464)
10. Tongue, red (467)

1 2 3 4 5 6 7 8 9 10 Total
Arn. 3 4 - - 2 3 3 1 3 -
Ars. 4 4 1 3 4 4 3 4 4 3 34/10
Bell. 4 4 - - 3 3 4 4 4 3
Carb-v. 4 3 3 - 2 2 4 3 4 -

Chin. 4 3 - - - x x x x x
Nux-v. 4 4 2 - 4 4 4 4 2 1 29/9
Phos. 4 4 4 - 2 2 4 4 4 1 29/9
Sec. c 4 3 1 - - 2 3 3 1 x
Calc.c. 4 4 2 - 1 2 3 3 4 -

Comments: As there are a large number of remedies in the the highest grade in the first
two rubrics, only those remedies which together made at least 7 marks in the two rubrics
were selected for eliminative purposes, to save time and labour.
Case 21: Melancholia, twisted outlook. This is a case reported by the famous Dr. Tomas
paschero in the British Hom. Journal, Vol. LIII, No 2, April 1964, and which Dr. Jugal
Kishore has used to demonstrate a case analysis with KISHORE CARDS'. It relates to a
woman aged 31 suffering from exhaustion, extreme irritability and intolerance, weeping,
frigidity, etc. This condition developed on account of her mentally retarded son aged 5
who had encephalitis when a year old. The first dose of Sepia 200 caused an aggravation,
Sepia IM after two months caused a rash on the face. Sepia 10M given forty days later
modified her apathy and her attitude towards her son was totally changed. She became
tender, affectionate with him, with her husband and her other two children, and also
herself became tranquil.
Rubrics:
1. Wet, drenched, etc. aggravates (1152)
2. Spring aggravates (1142)
3. Desires sweets (477)
4. Anxiety (after stool), in abdomen (545)
5. Weakness, exhaustion (935)
6. Aggr. in morning (1103)
7. Aggr. on rising (1137)
8. Averse to loved ones (193)
9. Aggr. from consolation (1112)

1 2 3 4 5 6 7 8 9 Total
Calc. 4 3 - 1 4 4 3 1 -
Lach. 3 4 - - 1 3 4 x x
Lyc. 3 3 4 1 4 2 3 1 - 21/8
Nat-m. 2 2 1 - 4 4 3 - -
Rhus t. 4 3 2 1 4 4 3 - -
Sepia 4 2 1 2 4 3 2 3 2 23/9
Sil. 3 2 - - 3 2 3 x x
Sulph. 3 3 2 3 3 3 3 - -

Case 22 : This case illustration is taken from Dr. Harvey Farrington's "Homoeopathy and
Homoeopathic Prescribing". At p. 245 he says: "This method of repertorising employs
the physical general characteristics and is usually chosen when mental symptoms are not
characteristic, or are lacking. The mental symptoms, if any, are considered second in
order, and the particular symptom last. To illustrate by a case from actual practice: The
symptoms given have been chosen because of their value in repertory work. Irrelevant
symptoms have been omitted...The diagnosis was "pruritus vaulvae" due to toxic
acidosis. Mrs. W., aged 25, married, has two children. Since her last labour she has had
profuse, yellow leucorrhoea and violent pruritus vulvae. The case analysed with Kent's
Repertory brought out Sulph. as covering all the symptoms. Working with Boger-
Boenninghausen's Repertory also gives Sulphur the highest rank. The order of symptoms
taken by Farrington is adhered to in the following working, except for Rubric i which is
taken first (instead of its original 10th place), in order to reduce the work involved, with
remedies with only 4 marks in it being taken for eliminative purpose. It will be noted that
Sulph. scores 3 or 4 marks against all rubrics, except for only two. This evidences its
highest rank in this case.
Rubrics Bell. Nat-c. Sep. Sulph.

1. Female genitalia-Pressure down (663) 4 4 4 4

2. Worse while standing (1143) 1 2 3 3
3. Worse at night (1104) 3 2 2 3
4. Worse from exertion physical (1117) - 2 2 4
5. Worse before menses (678) 1 1 2 4
6. Memory weak (211) 3 3 3 4
7. Head, throbbing (277) 4 - 4 4
8. Vertex, pressure on (270) 2 1 2 2
9. Flushes of hear (1048) 3 3 4 4
10. Feet cold (1027) 3 4 4 4
11. Leucorrhoea (687) 1 3 4 3
12. Leuccorhoea Yellow (689) 1 2 4 2
13. Stomach, empty feeling in (517) 1 2 3 3
14. Vertex, heat of (1050) - 2 - 4
15. Sweat in axillae (1082) - - 4 4
16. Sweat, odorous (1078) 3 - 4 3

PAGE 57
Case 23: This is yet another case taken from the above-mentioned book of Dr. Harvey
Farrington, MD illustrating his Method 1, viz., Starting with the mental symptoms; then
taking the physical generals, followed by the particular symptoms of the case.
This is a case of malaria, treated first with massive doses of quinine, then with
Arsenicum by an experienced homoeopath. The temperature during the heat rose to
104°5F. "In prescribing for malarial patients homoeopathically, the exact simillimum
must be found if a cure is to be expected." Hence, after taking detailed symptoms and
consulting Kent's Repertory Rhus tox was found to be the simillimum. A single dose of
Rhus tox (obviously a high potency) was given. For three days there was no change.
From the fourth day the symptoms gradually abated and by the sixth day all the
symptoms had disappeared. Years have elapsed with no return.
All the symptoms, in the order given by Farrington, were referred to the Boger-
Boenninghausen's Repertory, and the analysis is given below.
Rubrics:

1. Restlessness (917)
2. Restless during chill (1037)
3. Restless during heat (1064)
4. Thirst during chill (1041)
5. Chill at 7 p.m. (1032)
6. Chill in back (1026)
7. Chill in scapulae (1029)
8. Intolerance of uncovering (1075)
9. Sensation, as if dashed with cold water (1021)
10. Yawning with chilliness (981)
11. Pain in extremities during chill-Upper (1044)
12. Pain in extremities during chill-Lower (1045)
13. Asleep (numbness) of limbs in general (883)

PAGE 58
 1 2 3 4 5 6 7 8 9 10 11
12 13
Anac 4 1 - - - - - - x x x
x x
Bell. 4 4 4 1 - - - - x x x
x
Hyo. 4 - - - x x x x x x

Merc. 4 1 1 - - - x x

Rhus. 4 3 4 2 2 3 3 3 4 1 2
3 3
Sep. 4 4 1 4 - - - x x x x
x x
Staph. 4 x 1 1 x x x

Stra. 4 - 1 - - - x x

Comments : To arrive at the first eliminative group of remedy, only the remedies in the
highest rank in rubric 1, were taken in view of the extreme restlessness and toosing about,
and because of which also it was selected as the first rubric for repertorial analysis. When
any remedy drew a blank more than twice, it was eliminated from the contest.
Case 24 : Child, aged 1 1/2 yeras, rickets, Calc.C. Ref. Dr. B.D. D.
Pathetic case of a male child of mill-worker, born in the sick country-side, om infancy,
now brought to the city for treatment. Calc. Carb. was obviously the curative remedy, as
would have been obvious to any Homoeopathic practitioner. However, the recorded
symptoms are repertorised here with Boger-Boenninghausen's Repertory, which puts
Calc. Carb. as the simillimum, beyond question. Truly enough, the child respond to Calc.
30th from the beginning and as improvement progressed, raised potencies and infrequent
intervals were enough to take the child to full, vigorous health.
Rubrics:

1. Headstrong, obstinate (203)

2. Walk, learns to with difficulty (934)
3. Peevish (212)
4. Head enlarged (300)
5. Abdomen large (552)
6. Fontenelles open (903)
7. Emaciation (895)
8. Hungry (478)
9. Averse to milk (474)
10. Desires earth, chalk (476)
11. Desiree egg., eagerly (476)
12. Constipation (583)
13. Teething delayed (903)
14. Face wrinkled (403)

PAGE 59

1 2 3 4 5 6 7 8 9 10 11
12 13 14 Total
Bell. 4 3 2 1 - - 3 2 - - -
3 3
Calc.c. 4 4 4 4 3 4 3 3 2 1 4
4 4 4 52/14
Silicea 3 4 1 3 2 3 3 3 3 2 -
4 - -
Sulph. 2 3 4 2 3 2 4 4 2 1 -
4 4 -

Case 25 :Mrs. Lakshmi, aged 38 with two children. Since child-birth 1 1/2 years ago has
never been well. Pale, anaemic, exhausted. Ferrum met. steered her to health in a couple
of months.
Rubrics :

1. Weakness, exhaustion (935)

2. Excitable (200)
3. Flushes of heat to face and head (396)
4. Vomiting, while eating (507)
5. Anaemia (1009)
6. Eggs aggravate (1120)
7. Lips pale (407)
8. Walking ameliorates (1149)
9. Throbbing occipital headache (278)
10. Menses, too late (675)
11. Menses, too scanty (676)

1 2 3 4 5 6 7 8 9 10 11
Total
Ars. 4 3 - 1 4 - - 2 - 1 -

Asar. 3 3 - - - - - x x

Bell. 3 4 3 1
Calc. 4 2 - 1 -

Camph. 3 3 - - -

Cann. 3 3 - 1 -

Cham. 3 4 - - -

Coff. 2 4 - -

Ferrum 4 3 4 3 4 2 2 4 3 3 3
3/11
Gels. 3 3 4 - -

Iod. 4 3 - - -

Lyc. 4 2 - - 3 -

Merc. 3 3 - - - -

Nat.m. 4 2 3 - - -

Nit. ac. 2 4 2 4 - - -

Nux-v. 4 4 3 1 4 -

Phos. 4 2 3 x 3 -

PAGE 60
Practical exercises in repertorisation
The following exercises in practical repertorisation are given to enable the learner easily
to familiarise himself with the Repertory and the methods of repertorisation. Solutions to
the Rubrics and the curative remedy that emerges as a result. The reader is advised to
resist the temptation of referring to the solution until he has made a serious effort to find
the relevant Rubrics on his own. The reader may also try to search for methods of cutting
short the amount of work involved by rearranging the rubrics.
Exercises i-with rubrics
Find the Page No. of Rubrics and the remedies
(1) chronic Bronchitis:
(a) Aggravted by bathing.
(b) By the breeze of a fan or wind.
(c) Agg before eating.
(d) From change of weather.
(e) Nose is obstructed on the side lain on.
(f) At night.
(g) Bronchitis.
(h) Heaviness or pressure in vertex.
(2) Rheumatism of Shoulders:
(a) Agg. in summer.
(b) In the evening.
(c) Agg. at the beginning of motion.
(d) Amel. from continued motion.
(e) Gentle mild nature.
(f) Dislikes milk.
(g) Likes sour things.
(h) Poor appetite.
(i) Stiffness of joints.
(j) Shoulder joint.
(k) Upper extremities, right side.
(3) Facial Neuralgia
(a) Agg. from cold.
(b) Agg. from touch.
(c) Tearing pains in face.
(d) Left side.
(e) Zygomae.
(f) Neuralgic pains.
(4) Chronic Dry Cough:
(a) Agg. talking.
(b) Agg. at the beginning of sleep.
(c) Agg. by lying on back.
(d) Amel. by lying on abdomen.
(e) Agg. from fatty foods.
(f) By drinking cold water.
(g) Sensitive.
(h) Agg. when alone.
(i) Dislikes milk.
(j) Stool difficult because of fruitless urging.
(k) Urine unvoluntary.
(l) Cough without expectoration.
(5) Destructive, Violent Child of 9 Years:
(a) Destructive.
(b) Violence.
(c) Amel. from Music, which brings about a marked change in his mood.
(d) A contrary, disagreeable child.
(e) Very impatient.
PAGE 62
(6) Heart Aneurysm:
(a) Aneurysm-a peculiar obstruction to blood circulation in the heart region.
(b) Pain in the heart region.
(c) agg. in morning.
(d) Vertigo.
(e) Pain extends upward.
(f) Short of breath.
(g) Eructation ameliorates.
(7) Chronic Asthma:
(a) Agg. lying.
(b) agg. during sleep.
(c) Agg. from dust.
(d) Agg. from fats.
(e) Cold air aggravates.
(f) Weakness.
(g) Sneezing.
(h) Throat rough, irritation in.
(i) Respiration difficult.
(j) Thirst for little and often.
(8) Cervical Spondylosis.
(a) Agg. rising from bed.
(b) Agg. turning the head.
(c) Agg. from cold air.
(d) Agg. from draft of fan.
(e) Irritable.
(f) Vertigo.
(g) Whirling vertigo.
(h) Noises in the ear.
(9) Epilepsy:
(a) Agg. during new moon.
(b) Agg. during sleep.
(c) Epilepsy.
(d) Appetite wanting.
(e) Likes sweets.
PAGE 63
(10) Pyelitis :
(a) Urination, drop by drop.
(b) Urination, painful.
(c) Sediment, bloody.
(d) purulent urine.
(e) Suppuration of kidneys.
(11) Metrorrhagia :
(a) Agg. cold.
(b) Agg. evening.
(c) Agg. night.
(d) Agg. after eating.
(e) Irritable.
(f) Menstruation, too early.
(g) Too long.
(h) Too profuse.
(i) Leucorrhoea, milky.
(j) Itching.
(k) Burning.
(l) Lumbar pain.
(m) burning in eyes.
(n) Agg. physical exertion.
(o) Sleeplessness.
(p) Weakness.
(12) Intermittent Fever :
(a) Agg. every 15 day.
(b) Restlessness during fever.
(c) Thirst for little at a time.
(d) Agg. from cold air.
(e) Inclined to lie down (through resless).
(f) Desires cold water.
(13) Haemorrhoids, Bleeding :
(a) Hemorrhoids, bleeding.
(b) " protruding.
(c) Painful.
(d) Itching in rectum; intolerable.
(e) A sense of fulness in rectum.
(f) Or a sense of plug in rectum.
(g) or a ball internally.
(h) Averse to milk.
(i) Agg. by noises.
(j) Agg. from light.
(k) Thirstless.
(l) Snoring during sleep.
(m) Agg. by lying on back.
(14) Chronic Diarrhoea :
(a) Diarrhoea agg. by fat foods;
(b) Chronic diarrhoea.
(c) Desires salty food.
(d) Agg. by darkness.
(e) Agg. in the morning.
(15) Eyes, Painful :
(a) Sense of a foreign body in the eye.
(b) Cannot read; reading aggravates.
(c) Tears flow from the eyes.
(d) Outher canthi, pain in.
(e) Itching in outer canthi, left eye.
(16) Deafness with Vertigo :
(a) Deafness.
(b) With vertigo.
(c) Whirling in a circle.
(d) Vertigo causes to fall backward.
(17) Chronic Migraine :
(a) Agg. from heat of the sun.
(b) Agg. before menstruation.
(c) Agg. during menses.
(d) Agg. after menses.
(e) Migraine, which alternates sides.
(f) Headache amel, after stool.
(18) Vertigo :
(a) Vertigo with nausea;
(b) Agg. lying on left side.
(c) Agg. on awaking.
(d) Agg. in the morning.
(e) Agg. when rising from bed.
(f) Backache during menstruation.
(19) Hiccough, Incessant :
(a) Agg. fright.
(b) Amel. during sleep.
(c) Hiccough.
(d) Amel. by drinking wold water.
(20) Septic (Diphtheritic), Fever :
(a) Septic Fever.
(b) Throat painful during fever.
(c) Speech affected from inflammation of throat.
(d) Diphtheria.
(21) Leucorrhoea :
(a) Leucorrhoea, itching.
(b) After menstruation.
(c) Before menstruation.
(d) Leucorrhoea, burning sensation.
(e) Acrid.
(f) Yellow.
(22) Breathlessness, Intolerable :
(a) Respiration, difficult.
(b) Amel. only by sitting bent forward.
(c) Agg. by walking.
(d) Agg. from lying down.
(e) Respiration, wheezing.
(23) Mucus Stools :
(a) Stool of mucus.
(b) Stool green.
(c) Agg. from sweets.
(d) But the child craves sweets.
(e) Discharge of flatus with the stool.
PAGE 66
(24) Chronic Eczema :
(a) Eczema, scaly.
(b) Itching.
 (c) Spreading.
(d) Agg. with waxing moon.
(e) Skin, unhealthy, difficult to heal.
(25) Severe Abdominal Colic:
(a) Amel. by rubbing.
(b) Abdomen hard.
(c) Sensation of pulling (drawing) inward.
(d) Abdominal colic.
(e) Mental restlessness.
(f) Cold sweat.
Exercise ii - with symptoms find the remedy
In this the symptoms are given and it is for you to find out the rubrics as well as the
remedies. (The remedies which cured the cases along with the prescriber's name,
wherever possible, have been given in the "Solutions" Section, for the reader's guidance.
It is advisable not to refer to the "Solutions" before can an earnest effort is made by the
reader to find the remedy on his own).
(1) child aged 5 : twitches in sleep. Face red, but no fever. Sees a "funny man" in his
room at night, but does not ask for light, and not afraid of the man as one would expect.
Though a gentle child, screams and upsets his parents by his tantrums. He is not thirsty.
(2) Involuntary urination after operation. Averse to milk which he formerly liked very
much. Averse to touch, fears any one approaching or touching him.
(3) Cough worse lying on back, and better sitting erect. consolation aggravates.
(4) Pressing pain in the heart region with palpitation and gasping for breath. Patient
holds hands to the heart for relief.
PAGE 67
(5) Restlessness great; groaning because of difficult breathing, relieved by sitting bent
forward. Does not like to have the fan.
(6) Pain in spinal vertebrae, worse by pressure, stooping and exertion. Aggravation,
whenever he has temperature with coryza.
(7) Carbuncle (polypi) with burning in urethra; is a chilly patient; craves sour things.
(8) Endocarditis; heat aggravates. Retching, aggr. by motion. Sweaty. Lies with head
high; short respiration; want of appetite; repugnance to drinking water. Phlebitis Agg.
while swallowing.
(9) Cough, agg. by speaking; agg. by lying on left side. This for cold water. Averse to
though of food, regurgitation later. Chill agg. by uncovering. Bed feels hard. Stools
involuntary.
(10) Carbuncle, amel. by hot applications. Severe aching in the lumbar region, with
general weakness. Great thirst, twitching during sleep. Restlessness, physical and mental.
Tongue coated ; red tip.
(11) Amenorrhoea: menstruation always late. Abdomen full, inflated, hard. Hacking
cough. Evening aggravation. Pale around region of eyes.
(12) Ulcer, bluish, painful; better by hanging down of foot.
(13) child had measles last month. Now sits and weeps for no reason. Likes affection,
jealous of attention given to ohter children. No hunger, no thirst. Urine at long intervals,
not even once in a whole day.
(14) Abscess on left leg, discharges thin, bloody pus. Patient very sensitive to cold.
Thirstless; often contipated.
(15) Eruption on forearms; spreading (phagedenic), flat, watery oozing, smarting and
burning. Aggr. in winter.
PAGE 68
(16) Dermatosis. Sensation of dryness all over. Burning finger tips. Fears pointed
objects. Aggr. from noise, mental exertion, loss of sleep and cold.
(17) Acute Nephritis; anasarca. Urine brown, albuminous. Loss of appetite. Fear of
death. Thirst for small quantities of warm drinks. General amelioration from warmth.
Anxiety : restlessness Aggr. night.
(18) Fear ot ordeals. Great craving for sweets; dreams of snakes; loud eructation; pain in
stomach after eating. Stool with blood.
(19) Filariasis - Legs swollen, bloated; alternating sides affected. Aggr. in the morning.
Painless swelling.
(20) Osteomalacia (History of four abortions and three children born, all in ten years).
Bones painful, causing extreme weakness and inability to walk or work. Lower limbs
especially sensitive to touch. Agg. standing, pressure, beginning walking; motion
difficult. Warmth ameliorates.
(21) Prolapse of Hemorrhoidal tumour. Tumour blue-black, hard, bluish, throbbing.
Rectum prolapsed. constriction of internal parts. Tongue dry, red, trembling protuded
with difficulty. Vertigo: restlessness.
(22) Bronchitis with chronically increased secretions. Inflammation of larynx. knee joint
painful. Fearsome Agg. in cold dry weather.
(23) Erotic insanity; laughs, stares; suicidal; sleepless. Refuses to talk (taciturn); sad,
melancholic, depressed. Exposes her person. Agg. during menses.
(24) Vomiting without nausea. Pulse large, soft.
(25) Thyroid gland swollen (goitre); worse while ascending steps.
PAGE 69
Repertorial clues to the cases
EXERCISES I- WITH RUBRICS
Case 1 : a) 1107 b) 1113 c) 1115 d) 1151
e) 384 f) 1104 g) 755 h) 269
Calcarea Carb.
Case 2 : a) 1144 b) 1104 (c) 1132 (d) 1133
(e) 202 (f) 474 (g) 477 (h) 473
(i) 925 (j) 807 (k) 805. -Pulsatilla.
Case 3 : (a) 1111 (b) 1147 (c) 403 (d) 390
(e) 391 (f) 398 -Spigelia.
Case 4 : (a) 1146 (b) 1141 (c) 1129 (d) 1129
(e) 1120 (f) 1123 (g) 216 (h) 1106
(i) 474 (j) 592 (k) 627 (l) 727.
-Sepia.
Case 5 : (a) 198 (b) 221 (c) 229-1133 (d) 196
(e) 207 -Tarantula Hisp.
Case 6 : (a) 773 (b) 775 (c) 1103 (d) 239
(e) 892 (f) 693 (g) 1117 -Lachesis.
Case 7 : (a) 1128 (b) 1141 (c) 696 (d) 1120
(e) 1105 (f) 935 (g) 384 (h) 455
(i) 691 (j) 481. -Arsenicum Alb.
Case 8 : (a) 244 (b) 243 (c) 1105 (d) 1152
(e) 209 (f) 239 (g) 241 (h) 360
-Conium.
Case 9 : (a) 1132 (b) 1141 (c) 896 (d) 473
(e) 477. -Sepia.
Case 10 : (a) 626 (b) 627 (c) 623 (d) 622
(e) 639. -Cantharis.
Case 11 : (a) 1110 (b) 1104 (c) 1104 (d) 1115
(e) 209 (f) 675 (g) 675 (h) 676
(i) 688 (j) 688 (k) 687 (l) 685
(m) 310 (n) 1117 (o) 994 (p) 935.
-Calcarea Carb.
Case 12 : (a) 1104 (b) 1064 (c) 1068 (d) 1105
(e) 1074 (f) 1069. Arsenicum Alb.
(Contd.)
PAGE 70
Case 13 : (a) 612 (b) 612 (c) 612 (d) 613
(e) 611 (f) 613 (g) 884 (h) 474
(i) 1134 (j) 1127 (k) 481 (l) 989
(m) 1129. -Sepia.
Case 14 : (a) 1120 (b) 585 (c) 477 (d) 1113
(e) 603; 1103. -Phos.
Case 15 : (a) 315 (b) 336 (c) 314 (d) 331
(e) 332. -Natrum Mur.
Case 16 : (a) 358 (b) 364 (c) 241 (d) 239
-Chininum-Sulph.
Case 17 : (a) 1144 (b) 678 (c) 682 (d) 686
(e) 254 (f) 601. -Glonoin.
Case 18 : (a) 249 (b) 1130 (c) 1106 (d) 1103
(e) 244 (f) 685. -Phos.
Case 19 : (a) 1116 (b) 114 (c) 498 (d) 1123
-Phosporus.
Case 20 : (a) 1004 (b) 1068 (c) 741 (d) 735
-Lachesis.
Case 21 : (a) 688 (b) 686 (c) 679 (d) 687
(e) 687 (f) 685 -Kreos.
Case 22 : (a) 691 (b) 704 (c) 1149 (d) 1128
(e) 695 .-Lachesis.
Case 23 : (a) 581 (b) 589 (c) 606; 1122 (d) 477
(e) 597. -Arg. Nit.
Case 24 : (a) 969 (b) 969 (c) 894 (d) 1132
(e) 953 -Clematis.
Case 25 : (a) 1139 (b) 551 (c) 894 (d) 547
(e) 214 (f) 1077. -Plumbum Met.
Solutions to exercises ii with symptoms
(rubrics to be identified - The remedies, with the names of prescribers given where
possible)
(1) Bell. 10M, one dose-Elisabeth Hubbard. (2) Arnica. (3) Natrum mur. (4)
Laurocerausus. (5) Arsenicum alb. (6) Calc. C. (7) Hepar-Sulph. - Dr. C.M. Boger-. (8)
Pulsatilla. (9) Phosphorus IM. -Grace Stevens. (10) Arsenicum alb. (11) Kali carb CM,
one dose.- Edward Rushmore. (12) Conium (13) Pulsatilla (14) Silicea. (15) Petroleum
(16) Silicea, 10M. - W. Klunker.
PAGE 71
(17) Arsenicum alb. 200th . one dose. - Dr. N.S. Reddy, Hyderabad. (18) Argentum nit.
(19) Antim cr. - S.R. Phatak.
(20) Silicea- 6x30 and 200 given for two months without any relief. One dose of 1M
daily for one week, led patient to say. "something is happening for the better", No change
from a few more doses of 1M. Then, 10M one dose caused a definite change for the
better CM gave complete relief. -S.R. Phatak.
(21) Lachesis CM.- Adolph Lippe. (22) Causticum.
(23) Hyoscyamus. (24) Veratrum vir. (25) Spongia.
Some special features of the repertory to be carefully noted
1. Aggravations (or Causation) from Emotions, such as anger, anxiety, fright, grief
jealousy, unhappy love, reproaches etc. are important in remedy selection. Though
partaking of "Mental" symptoms they are to be found under "Conditions of Aggravation",
etc. at p. 1116-17.
2. The detailed Cross-references, particularly for the "Mind" at p. 230-236 should be
noted, so that important rubrics may not be missed.
3. The Chapter "Sensorium" is a special feature of this Repertory and should be
consulted whenever necessary.
4. The rubric "Hair" under the Chapter "Head, external" (p. 302-303) also contains
rubrics of hair falling from "eye brown, eyelashes, beard, moustache, nostrils, after
parturition", etc.
5. For MUMPS? consult the rubric "Glands (Auricular, Parotid, etc)" at p. 353, under
Chapter "Ears".
6. For Lock-jaw, see "Cramps, trismus, lock-jaw" (410) and Tetanic (930).
7. Deafness due to various causes, as well as various illusions of Hearing are given
together and can be readily consulated at p. 358-360.
8. The Cravings and Aversions under "Appetite" (473-478) as well as the Aggravations
from various items of Food and Drinks (1119-1123) help considerably in remedy
selection.
9. Remedies for various types of "Gait are given at p. 855. There are a number of allied
rubrics spread out in the Repertory and all of them have been given together in the
"Cross-References" Section of this book, taking Gait at p. 855 as the main rubric.
10. The Chapter "Sensations and Complaints in General" is very useful. In it there are
rubrics for various kinds of PAINS and SENSATIONS, which should be noted after a
careful perusal of the Chapter. Cases which do not call for a reference to this Chapter are
rare.
PAGE 73
11. The INFANTS Section at p. 902-3 is so very useful that by reference to it alone one
can treat most cases of Infant's ailments.
12. In the Cross-References Section of this book, detailled cross references have been
given to most of the rubrics found in various parts of the Repertory relating to "infants"
or Children. This has been done as a further expansion of the already long rubric
"infants" at p. 902-3 with a view to facilitating the physician's task while treating infants
or children.
13. "Direction of Pain" (892) is yet another rubric which is nowhere in the
comprehensive form in which it is given here.
14. "Sides of the Body" (919) is yet another comprehensive rubric, the ready availability
of which in this Repertory is a valuable feature.
15. It would be invidioud to make special mention of rubrics in this way, since the
Chapter "Sensation and Complaints"is crammed with many more detailed rubrics of this
type pertaining to various conditions of illness e.g. , Cramp (890), Discharge (892),
Emaciation (895), Increasing gradually, etc. (902), Inflammation (993), Insensiblity,
numbness (904), Motion absent (908), Mucus membranes, affected (909), Muscles (909),
Paralysis (911), Sensitiveness (918), Sore pain (921), Spasms, convulsions (921), Sprains
(923), Swelling (927) Trembling (932), Weakness (935).
16. It is strongly urged that full use of the Concomitants be made in selecting the
remedy, as it will not only make the search easier and time-saving, but also more
successful list of concomitants (Schema-wise) given to the Chapters on Chill, Heatand
Fever and Sweat. These concomitants make the search so easy and quick, without even
the need for reference to any other Chapter of the repertory.
PAGE 74
17. Similiary, reference to the Concomitants at the end of the Chapter Menstruation, i.e. ,
Before, At the Beginning, during and after menstruation (and similiary the Concomitants
to the Chapter Stool - Before, During and After Stool) lead one quickly to the curative
remedy.
18. At times the concomitants are not given separately as a sub section, but are given
along with the Aggravations-vide Chapters "Head" (e.g. Backache with 283; Diarrhoea
with 283, Earache with 283; Polyuria, with 288); Vision, vertigo with 347; Hiccough,
meteorism, with 499; Nausea, vertigo with 510. Abdomen, water brash, with 565, etc.
etc.).
19. For Aggravation or Amelioration from local applications, cold or hot, please refer to
"Pack Cold" etc. at p. 1134 and "Wet Applications, Poultices", etc. at. p. 1152.
20. If one studies very carefully the two Chapters, "Sensation and Complaints in
General", and "Conditions and aggravation and Amelioration" he will at one stretch
achieve the triple objects, viz., (i) improve one's ability in Case-taking, (ii) easy and
quick repertorisation and (iii) selection of the Simillimum.
21. The "Time" aggravations pertaining to different anatomical as well as in relation to
Chill, Heat and Sweat are given at the end of the respective Sections in the Repertory.
Their page numbers are given together elsewhere in this book to facilitate quick reference
when needed.
22. Aggravations and Ameliorations during Monn phases are given at p. 1132 in the
Repertory. A more detailed abstract in this point culled from Boger's "Moon Phases" is
given elsewhere in this booklet.
23. The time Aggravations given at p. 1103-4 in the Repertory are very useful in most
cases. However, for the facility of prescribers the detailed aggravations and ameliorations
at specific times, taken from Boger's Synoptic Key and S.R. Phatak's Repertory are given
elsewhere in this book.
PAGE 75
What is where in boger-boenninghausen's repertory
Schema-wise (anatomical) List of Chapters and Sub. Sections.
Chapter and Sections Time of agg. Aggr. and Amel. Concomitants Cross-Ref.
Mind 191 222 223 229 230
Sensorium 236 - 238
Vertigo 239 241 242 247 250
Head (internal) 250 280 281 covered under aggr. 296
Head (external) 297 307 307 - 309
Eyes 309 334 334 - 320
Eyebrows 320 321
Orbits 321 322
Eyelids 322 330
Canthi 330
Vision 338 345 346
Ears 348
Hearing 358 361 362
Nose 365
Smell 379 380 381
Coryza 382 385 386 387
Face 390 413 414
Lips 404
Lower jaw and
Maxill. jts. 410
Teeth 416 433 433
Gums 429
Mouth 441 469 469
Palate 445
Throat and (Contd.)
Gullet 448
Saliva 458
Tongue 462
Appetite 472
Aversions 473
Cravings Desires 475
Thirst 480
Taste 482 489 489
Eructation 499 493 493
Waterbrash and Heartburn 495 497 497
Hiccough 498 499 499
Nausea and vomiting 500 506 506 511 513
Stomach 514
Epigastrium 522 526 526 532 533
Hyponchondria (Liver, Spleen, Pancreas) 533 540 540 543
Abdomen internal 543 559 560 567
Abdomen external 569 571 571
Inguinal and pubic Region 572 575 575
Mons Pubis 575
Flatulence 576 579 580 581
Stool 582 603 603 607
Cocomitants
Before Stool 593
During Stool 595
After stool 599
Anus and Rectum 609 615 617
Perineum 617 618 618
Prostate Gland 619
Urine 619
Sediment 623
Micturation 625
Concomitants: 635 636
Before Urination 630
At Beginning of Urination 630
During Urination 631
At close of Urination 633
After Urination 633
Urinary Organs 637 644
Kidneys 637
Ureters 639
Bladder 639
Urethra 641
Meatus 644
Genitalia 645 664 665 667
Male Organs 646
Penis 648
Glans 649
Prepuce 651
Spermatic Cord 652
Testes 653
Scrotum 655
Female Organs 656
Childbed 658
Labour 661
Pregnancy 662
Sexual Impulse 669
Concomitants:
of coiton 673
After coiton 673
after Pollutions 674 674
Menstruation 675
Concomitants:
Before Menses 678
At start of Menses 681
During Menses 682
After Menses 686 (Condt.)
Leucorrhoea 687 689
Respiration 690
Impeded by 695 698 699 705
Cough 705 708 720
Excited or Aggr. by 709
Amelioration 719
Expectoration 727
Taste of Expect. 731
Odour of Expect. 733
Larynx and
Trachea 734 738
Voice and Speech 738 741 742
Neck and External Throat 743 751 751
Nape 748
Cervical Vertebrae 748
Chest-inner 753 777 778
External 764
Axillae 767
Mammae 769
Nipples 771
Heart and Region 772
Murmurs, Sounds 776
Back-Scapular region 784 800 801
Back proper-Dorsal Region 788
Dorsal Region 788
Lumbar Region- Small of back 793
Sacrum and Coccyx 797
Spinal Column and vertebrae 799
Upper Extremities 805 837 838
Lower Extremities 842 874 875
Sensation and Complaints in General 881
Glands 937
Bones 940
Skin and Exterior
Body 944 980 980
Sleep 980
Yawning 980
Falling to sleep 981
Sleepiness 984
Character of sleep 986
During sleep, symptoms 988
Position during sleep 991
Waking, with Sleeplessness 994
Dreams 997 1002
Fever-Pathological Types 1002
Blood 1005
Circulation 1006 1012 1017
Heart Beat 1013
Pulse 1014
Chill 1020 1031 1033 1036
Partial chill 1022
Coldness 1024
Sense of partial Coldness 1025
Sense of partial Coldness 1027
Shivering 1030
Heat and Fever in General 1047 1059 1060 1063
Partial Heat 1049
Sweat 1076 1083 1084 1088 (Condt.)
Partial Sweat 1079
Compound Fevers 1099
Beginning with Chill 1099
Beginning with Shivering 1101
Beginning with sweat 1102
conditions of Aggr. and Amel. in General as to time 1103
Conditions of Aggr. and Amel. in General (other than those as to time) 1105
Concordances 1154
Word Index 1233.