(Read at the June, 1922, Meeting of the International. Hahnemannian Association.).
In presenting this brief outline of what suggests itself as possibly a simplified arrangement of symptomatology, I am not unaware of the fact that it will probably not be considered a new idea; and may not in any sense supplant the recognized methods of studying the Materia Medica.
It is merely intended as an outline of the subjoined remedies, arranged after the method of Kent–from generals to particulars.
It does not differ in this respect from other outlines, with the possible exception that the terminology–the exact language of the repertory is used, thereby giving the rubrics their actual repertorial values. The schema here used might possibly give promise for the arrangement of other remedies for repertorial analysis.
The general plan may be outlined as follows:.
The name of the remedy is placed at the top of the schema, with or without its chemical or botanical equivalent. The symptoms ar then listen from generals, which are placed in two parallel columns, to particulars, which are arranged alphabetically across the page; the whole being supplemented by the general relationship of the remedy. First in importance are the mental generals, which are followed by the physical generals, arranged according to their relative importance. It will be noted that next in order after the physical generals come the cravings and aversions, and menstrual state.
This is in conformity with the following plan which has been somewhat simplified from the outline given by Dr. Margaret Tyler, of London (The Homoeopathician, Vol. II, No. I, July, 1912, pp. 21-33).
ORDER OF SYMPTOM VALUES Simplified from Dr. Margaret Tylers Papers on Repertorizing.
(Those general to the patient as a whole.).
(1) Mental Symptoms (if very definite and well marked).
Reactions to mental environment.
(2) Physical Generals.
Reactions as a whole to bodily environment, e. g., to. time and seasons, heat and cold, damp and dry, storm and tempest, position, pressure, motion, jar, touch, etc.
(3) Cravings and aversions, not mere likes and dislikes, but longings and loathings.
(4) Menstrual state (in women).
General aggravation before, during and after the menses.
Of lower rank:
Early, late and excessive,
(Only where there is nothing such as polypus, fibroid or menopause to account for it.).
(Those particular, not to the patient as a whole, but to some part of him.).
Symptoms which are peculiar, unusual, unexpected, unaccountable.
Reference may likewise be made to an excellent series of papers on “The General Symptoms of the Materia Medica,” by Dr. Harvey Farrington, of Chicago, this years President of our Society. These papers were published in the Journal of Homoeopathics, Vols. V-VII.
For a comprehensive schema for case-taking reference may be made to an excellent paper by Dr. Guy Beckley Stearns, of New York (Case-Taking, Trans. I. H. A., 38th Annual Session, 1917, pp. 288-306).
In the study of the following remedies, the generals and particulars, according to their relative value in the different rubrics have been taken direct from Kents Repertory (second edition). The relationships have been adapted from the arrangement of the late Dr. R. Gibson Miller, of Glasgow.
The first step in prescribing is the proper taking of the case. For details of this method the “Organon” should not only be consulted (Sec. 83-105), but the careful directions therein given should be made ones own.
It will be noted that in some respects this outline bears a resemblance to the arrangement of Dr. C. M. Bogers “Synoptic Key of the Materia Medica,” a work which readily commends itself to every advanced student of the Materia Medica; yet it will likewise be observed that in the following schema, not only the actual terminology of the Materia Medica–repertory is made use of, but also the symptoms are reproduced in their actual rubrical values; hence may be made use of in repertorial checking.
In compiling such an outline, it will readily be seen that there is but one way to accomplish this; viz., a careful and painstaking survey must be made of the entire repertory, and the rubrics faithfully copied alphabetically in their relative value.
The following remedies will illustrate the arrangement: ABROTANUM It will be observed that in a remedy of the limited scope of Abrotanum, the generals are, with a few exceptions, of relative unimportance, whereas the unusual, “strange, rare and peculiar” characteristics would seem of greater significance in prescribing.
Anxiety Amel. open air.
Cheerful, gay Agg. cold air.
Delusions Constriction externally.
Brain, has softening EMACIATION.
Hears voices Children (marasmus).
Excitement, excitable Motion.
Exertion, from mental Of affected parts amel.
Hysteria Numbness externally
Indolence, aversion to work Pain.
Irritability Pressing externally.
In children Stitching externally.
Memory Mumps to ovaries.
Weakness of To testes.
Mood agreeable Prickling.
Penetrating mind Internally.
Restlessness, nervousness Trembling externally.
Night Weakness, enervation.
Sadness, mental depression Weather.
Starting Weather, change of.
From sleep Desires.
Talk, indisposed to Bread.
Violent, vehement Boiled milk.
Agg. night Menses.
Agg. morning Painful.
Agg. evening Suppressed
Head: Coldness, chilliness. Comedones. Old-looking. Epistaxis (boys). Appetite: Excessive; with emaciation; with marasmus. Abdomen: Distention. Constipation: Alternating with diarrhea. Hemorrhoids: External; after rheumatism abates. Stomach: Relaxed; Pain: Burning, cutting; night. umbilicus, discharge from. Hydrocele: Of boys; after suppressed eruptions. Respiration difficult; rheumatism of heart. Endocarditis; pleurisy. Extremities: Chilblains; pain, rheumatic; checked diarrhea; suppressed hemorrhoids. Arthritic nodosities, numbness. Emaciation: Lower limbs; legs; flabbiness. Paralysis, sensation of Hectic fever. Intense heat. Perspiration profuse. Boils.
After Acon. and Bry. in pleurisy; after Hep. in furuncle. Compare Agar. and nux v. in chilblains.
In deep-acting polycrests of the nature of Apis, the majority of symptoms, both general and particular, or of first rubrical value–to list the whole array of symptoms would not only be too extended, but entirely unnecessary, as a sufficiently exhaustive sketch of a remedy of this scope is seen in the more general outline.
ABSENT-MINDED PULSE frequent.
DEATH, presentiment of SIDE, right.
DELIRIUM Sleep agg. after.
During SLEEP SWELLING in general.
EROTIC TOUCH agg.
SHRIEKING BED agg.
BRAIN cry ROOM agg.
STUPEFACTION WRAPS agg.
Unconsciousness WEAKNESS, enervation.
During FEVER Wounds.
WEEPING, tearful mood Wounds PENETRATING.
Agg. 3 P. M. To drinks.
Cancerous affections To food.
Clothing, intolerance of Desires.
Cold bathing amel. Milk.
DROPSY, externally Sour acids.
HEAT, sensation of Vinegar.
SEROUS membranes Absent, amenorrhea.
IRRITABILITY, excessive physical As it would appear.
LYING agg. Irregular.
PAIN, BURNING externally Late.
LOAD, as from Scanty.
PRESSURE agg. One day only.
VERTIGO; during HEADACHE. BORES head into PILLOW. CONGESTION; amel. In OPEN AIR; MENSES, before, after; in a WARM ROOM. CONSTRICTION. ERYSIPELAS. FULNESS HEAT; amel. In OPEN AIR; agg. while in ROOM; in HOT; FOREHEAD; amel. COOL AIR. HEAVINESS; amel. in OPEN AIR; agg. in WARM ROOM. HYDROCEPHALUS. PAIN; during the HEAT; agg. in a WARM ROOM; in VERTEX; FOREHEAD; TEMPLES. SWOLLEN, distended feeling. EYES: CHEMOSIS. INFLAMMATION; ACUTE; ERYSIPELATOUS; agg. HEAT, in INFANTS; CONJUNCTIVA; PUSTULAR; LIDS. Pain, BURNING, smarting, biting; STITCHING. REDNESS; LIDS. STRABISMUS. SWOLLEN LIDS; EDEMATOUS UNDER the lids;
UPPER lids. Ulceration, CORNEA. Vision weak. Agg. USING. EARS, discoloration REDNESS; SWELLING; pain on SWALLOWING; SWELLING. Nose, discoloration ; ERYSIPELATOUS; EDEMA. Pain, STITCHING; SWELLING. Face: Discoloration, RED. Eruptions, URTICARIA; ERYSIPELAS; EDEMATOUS, PERIODIC, RECURRENT; AROUND THE EYE. EVERTED lips. Pain STINGING, SHINY. SWELLING, EDEMATOUS; SCARLET FEVER; around the EYES; UNDER. LIPS, UPPER; WAXY. MOUTH: Discoloration RED; tongue RED; DRYNESS; INFLAMMATION. Swelling, TONGUE. Vesicles, STINGING; stitches TONGUE; BURNING. WATERY looking gums. GRINDING teeth. Throat: Glazed appearance: Inflammation, ERYSIPELATOUS; UVULA; MEMBRANE, exudation, diphtheria. Pain, STINGING; swallowing, WHEN NOT; STITCHING, on SWALLOWING. Swelling, UVULA;
EDEMATOUS. ULCERS. THIRSTLESS; during HEAT. VOMITING. DROPSY, ascites. INFLAMMATION (peritonitis, enteritis); TYPHLITIS. Pain SORE, bruised, tenderness ; HYPOCHONDRIA; ILEOCECAL region. CONSTIPATION; during MENSES. DIARRHEA, SORENESS, rectum; after STOOL; STINGING. TENESMUS. During DYSENTERY. PROLAPSUS. RELAXED anus. WATERY stools. Bladder: INFLAMMATION. Pain; PRESSING. RETENTION; in CHILDREN. URGING, CONSTANT; FREQUENT. Urination INVOLUNTARY; NIGHT; during COUGH. INFLAMMATION kidneys; acute PARENCHYMATOUS. SUPPRESSION of urine. INFLAMMATION prostate gland. Urine ALBUMINOUS; PREGNANCY; SCARLET FEVER; BLOODY; BURNING;
casts of TUBES; CLOUDY; DARK; MILKY, in HYDROCEPHALOUS; SCANTY. HYDROCELE. Scrotum EDEMATOUS. ABORTION. Congestion OVARIES. Desire in WINDOWS; Dropsy; OVARIES. ENLARGED ovaries; RIGHT. Hardness RIGHT. Heaviness OVARIES. Inflammation; OVARIES; UTERUS. Pain OVARIES. Burning OVARIES; during ABORTION; after COITION. Stinging, OVARIES. Tumors OVARIES.. EDEMA glottidis. RESPIRATION DIFFICULT; OPEN AIR amel.; during CHILL. CONSTRICTION of larynx; with HEAT; while LYING; with HEAD LOW; wants DOORS AND WINDOWS OPEN; GASPING. Cough agg. LYING. ANGINA pectoris. DROPSY chest. ERYSIPELAS of MAMMAE. FULNESS. OPPRESSION; during CHILL; WARM ROOM. PAIN;
HEART; BURNING; ANTERIOR PART; SORE, bruised; from COUGHING; stitching, MAMMAE; HEART. Inflammation , cord; SPINAL MENINGITIS; SUFFOCATION, agg. in a WARM ROOM. Pain COCCYX. ARTHRITIC nodosities; FINGER joints. AWKWARDNESS; DROPS thing. Coldness, knees; during CHILL; FOOT. Discoloration hand, REDNESS. Felon ITCHING; PANARITIUM; STINGING pain. Inflammation, SYNOVITIS; leg ERYSIPELATOUS; toes, ERYSIPELATOUS. ITCHING, LOWER LIMBS. Numbness UPPER LIMBS. Paralysis after apoplexy, hemiplegia; LEFT. Stiffness, NIGHT; TOES. Swelling DROPSICAL; ANKLE, FOOT; EDEMATOUS;
SENSATION of; toes, SENSATION of. Sleep deep; during HEAT. SLEEPINESS. COLDNESS in general; AFTERNOON; EVENING; amel. in OPEN AIR; BEGINNING in a extending up from ABDOMEN. in, nor near a WARM STOVE. SMOTHERING in WARM room; WARMTH unbearable. HEAT in general; MORNING; with CHILLINESS; AFTERNOON; with CHILLINESS, BURNING heat. CEREBRO-SPINAL FEVER. CHILL absent. FEVER without CHILL; 3 TO 4 P. M. FEVER with CHILLINESS. Continued FEVER, typhus, typhoid, EXANTHEMIC. EXANTHEMIC fevers, MEASLES; SCARLETINA. Uncovering DESIRE for. WARM covering AGG.;
WASHING amel. Skin BURNING; discoloration, RED; WHITE, Eruptions, BURNING. Rash, SCARLETINA; STINGING; URTICARIA; NIGHT; during FEVER; NODULAR. ERYSIPELAS: with SWELLING. ITCHING; PRICKLING; SENSITIVENESS; SHINING; STINGING; STITCHING. SWELLING; PALE; STINGING; WAXY.
Complementary: Natr. m. Followed by: Arn., Ars. Graph.,. Iod., Lyc., Puls., Natr. m., Stram., Sulph. Inimical:. Rhus. Antidotes: Carb. ac., Canth., Ipec., Lach., Led., Natr. m.
From the foregoing it will be seen that to complete such an outline of the Materia Medica, will entail an almost unending task; almost as laborious in facts as the compiling of the repertory itself. The question naturally aries, therefore, will such a task repay the student of Materia Medica when completed?.
I am personally of the opinion that it will. However, until another edition of the complete Repertory is issued, such a task should not even be attempted, as in the new Third Edition of Kents Repertory, which gives promise of being published at some future time, there will undoubtedly be many change which should be incorporated into the analyses of the individual remedies.
I, therefore, submit this brief survey to this Association. We must surely possess, among our many trained Materia Medicists, some individuals, or group of individuals, who are amply qualified to engage in this extensive but valuable enterprise. When the new edition of the Repertory shall have been published, may we not hope that such an important task may be completed.