00. G_Akt 01_2008_Endversion

Transcrição

00. G_Akt 03_2008_engl_druck
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I died as mineral and became a plant,
I died as plant and rose to animal,
I died as animal and I was a man.
Why should I fear? when was I less by dying?
Yet, once more, I shall die as man, to soar –
With angels blessed, but even from angelhood
I must pass on; all except God doth perish.
When I have sacrificed my angel soul,
I shall become what no mind e´er conceived,
Oh! let me not exist, for non-existence
Proclaims in organ-tones,
„To Him we shall return “.
Maulana Rumi
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C ONTENT
Editorial
...........................................................................
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Reflections on Repertories and their Symptoms
by Peter Vint, Biologist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
The History of the Repertories
by Reinhard Rosé . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Timetable of the History of Repertories
by Reinhard Rosé . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Bönninghausen’s
“Therapeutisches Taschenbuch”
by Dr. med. Klaus Holzapfel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Repertories by C. M. Boger
by Dr. rer. nat. Norbert Winter
......................................
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ARemarks on the Homeopathic Medical Repertory
by Robin Murphy
by Dr. Beatrix Gessner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
My Philosophy
by David Warkentin
.......................................................
Repertory in Practice
by Dr. med. Klaus Holzapfel
..........................................
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Vitalquest – Sankaran’s System as Computer Programm
by Dr. Willibald Neuhold . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Homöopathisches Kleinstrepertorium
von Carl Classen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
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E DITORIAL
T
he previous edition was dedicated to the subject Materia Medica. Because of its close relationship
to repertories the present edition logically offers some reflections on this subject.
This subject seems to be of general interest nowadays and the “Homöopathie-Zeitschrift” dedicated its
2008 November issue to it. Therefore we arranged to publish articles whose contents complement each
other rather than overlap.
“What actually is a repertory? ... Could you give a precise definition?”
so I asked Peter Vint, whereupon he answered “first you have to define symptoms”.
What constitutes a symptom or better, what is a complete symptom?
What may be considered a sensible principle of arrangement? Which
is easily comprehensible and user friendly? An alphabetical order or
a head-to-foot arrangement?
Had Hahnemann already thought about it? Or was Clemens von Bönninghausen the first who wanted to structure the search for symptoms in a systematic way? When was the “Kent” compiled, the one
with the beautiful thumb index? ... Some of us will still remember the old English “Kent”, which you could
buy for a decent price more than 40 years ago from Jain Publishers in New Delhi. When was it published
the first time?
Which repertories are there today?
How are they structured, from which sources are they compiled?
What about grades / degrees of remedies?
As you can see, there is no lack of questions, but maybe of final answers.
Which repertory is the best? A question to which there is no answer, because it is the wrong question. It’s
always the repertory most appropriate to the symptomatology of the case.
How many repertories are there? Much more than a hundred! But why so many?
And then there are alos the “robots” we know from “Star Wars”, which take an almost active part in the
anamnesis and spread out snippets to lead the therapist his way to the right remedy. Wow...!
Repertories - a rather complex subject.
Read what our specialists have to say about it, in order to form your own opinion.
To counterbalance the academic articles and to avoid boredom Stefan Reis supplied both profound and
humorous quotations.
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P ETER V INT, B IOLOGIST
et’s start from scratch and ask the elementary
question: What is a repertory and what is a
symptom? Acquaintances and friends, who know
that I both translated and published a repertory,
usually get the following first answer: When you have
a flu and your eyes are watering and burning, there
you have a symptom. In a repertory such symptoms
are listed like in an index of words and you find
therein remedies, which fit those symptoms.
L
This answer of course won’t do. As usual, everything
is much more complicated. For most homeopaths
the repertory is one of the indispensable tools
(whether as book or as software). The daily work
with repertories has the effect that we hardly take
time to reflect about everything that might be hidden behind the terms repertory and symptom.
The Repertory
A first approach: A repertory is a structured listing of homeopathic information, in which remedies are associated with symptoms; it’s mainly used
for finding the patient’s symptoms and to help
choose the adequate remedy.
For the moment let’s ignore the question what exactly a symptom is, and let’s pretend we have the
answer already. The expression “homeopathic information” was chosen on purpose, because it can
be very different depending on the repertory. Let’s
start with the subject “structured listing”. An essential characteristic of all repertories I know is
the use of keywords. Something we take for granted, but these bring about two kinds of questions
which in my view are often underestimated: A) On
one hand, they create a distance from the language of the patient. A patient might say: “my belly is a knot and I’m knackered!” you will neither
look up “belly” nor “knackered” for that matter.
With slight exaggeration one might even talk about
a repertorial language of its own. [This would be
an argument to devote oneself to the peculiarities
of this language, especially during the “years of
study”.] Since I’m a translator an explanation immediately comes to my mind: You translate symptoms of the patient into the language of the repertory. B) On the other hand using keywords also
results in a restriction of everyday language to
a limited vocabulary. This has the advantage of
allowing us to find symptoms quickly, without first
“having a try” on every possible way how a symptom could be expressed. But this advantage comes
at a price: some subtleties of the patient’s language
get lost.
Let’s look at Hahnemann’s “Chronic diseases”,
symptom no. 11 from platinum metallicum: “Very
restless disposition, so that she could not remain
anywhere, with sadness, so that the most joyful
things distressed her; she thought that she had no
place in the world, life was wearisome, but she
had great dread of death, which she believed
near at hand. [Gr.]”
Just have a look at your repertory, where you can
find traces of this symptom that has been described
in such a lively way, and then compare it to the results you get.
That’s precisely what I did: For example in G.H.G.
Jahr you find in the first volume of his “Systematisch-Alphabetisches Repertorium”, chapter V.
Mind (p. 511), the section “Weariness of life, according to type and character” with the subrubric
“Fear of death; with” and beside alum, chin, nitac. and rhus-t. also platina. In Kent’s repertory you
find several fragments of this impressive symptom,
beside others like “death - presentment”, “weari-
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ness of life”, “restlessness” etc. The passage “she
thought that she had no place in the world” I was
unable to locate in Kent. But it is not certain
whether the symptoms in Kent’s repertory really
were based upon the Hahnemann symptom mentioned above, since unfortunately in those days it
was not common to mention the sources for entries in a repertory.
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bone / Tibia; belly / abdomen, etc.). Unfortunately here there is no way out but to learn the terms
in use by heart, to memorize them. If you really
wanted to use only English terms, you soon would
get into trouble for one or the other muscle or
nerve (do you remember the English name for M.
sternocledomastoideus?) and with Latin terms it
might be just the same. For this reason in all repertories I know, you find a more or less big
To give just another example of the
mixture of Latin and English
To
utility of keywords imagine you
terms.
hell with all repertoires,
would have to look up the
that recklessly tear apart and
As for the structure onmodality “ascending
chop up what belongs together and
ly a few hints are posstairs” in all possible
combine
what
is
distinct,
just
to
keep
up
sible. To do more
variants of everyday
the simple alphabetical order.
than just scratch
language. You
the surface of this
would have to
In order to piece together a characteristic picissue would simcheck under A
ture from them, in all its bright and dark sides,
ply go far beyond
like “ascending”,
you would have to have the complete pure matethe scope of this
under G like “goria medica lock, stock and barrel in your head
article. One of the
ing”, or S like
and then you would need all those repertories
main
questions al“stairs”, etc. (actuless than ever! - Karl Julius Aegidi,
ways is what kind of
ally in the sixth AmerHomöopathische fliegende Blätter
general “principle of
ican edition of Kent’s
[homeopathic flying leaves],
arrangement” is to be derepertory you will find all
reprinted in ZBV 1911, p.
tected.
The “classical” apthese variants).
217.
proach (of course based on HahIn some repertories the restriction
nemann’s arrangement of the symptoms
regarding language mentioned above is displayed
in the materia medica) is the so-called head-toby the fact that many keywords, where you would
food schema, which in many repertories is used
expect several remedies and / or subrubrics, are
for the division into chapters. Of higher importance
just references pointing to a main entry. For exis the hierarchical arrangement (you might alample, in many repertories “melancholy” and “deso call it the deep structure). Let’s look at an expression” refer to “sadness”. It’s obvious that those
ample: Where do you find Kent’s “eczema at the
are not synonyms in the usual sense, but conhollow of the knee”? Which keywords are used and
notations, somehow related meanings, which
in which order? Are there subdivisions (e.g. erupshow that one keyword is used in a very wide sense.
tions - eczema)? There are quite a few possibiliOf course there are also clear-cut and definite synties, hopefully only one of which has been imonyms, esp. in the area of medical terms (e.g. shinplemented. At this point it should be obvious that
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we are not talking about mere theoretical issues.
In the end the pragmatic issue simply is whether
or not one finds a symptom quickly. Maybe you
don’t find it, because you work with the repertory just on the principle of “trial and error” and
never consciously asked certain questions. This also makes it clear, why I cannot possibly go into any
detail: there simply are too many possible ways how
to formulate or arrange one and the same symptom. Besides up to know I never came across a bigger repertory where you don’t find deviations from
some rules now and then. An example, you can
check for yourself: The modality “warm” in connection with air, room, milk, water, drinks, food,
etc. certainly will show, that not in all cases the noun
is the first or the second keyword. Maybe you find
both “warm - milk” and “rooms - warm; in a”.
The Symptom
A first approach: A repertorial symptom stands
for a patient’s complaint and/or peculiarity mentioned by the patient himself, by a third person or
observed by the doctor.
In case you expected a homeopathic definition
of the term symptom, I have to disappoint you. Beside the issue of potencies, there is hardly any subject that has been argued upon in more controversial ways in the history of homeopathy. Here we
are dealing mainly with a repertorial symptom,
i.e. the concrete entry in a repertory and not the
question what in a concrete case a homeopath will
consider as being a symptom or not. One example: is sadness after the death of a relative a symptom? And if so, under which circumstances?
To put it in a somewhat exaggerated way: A repertorial symptom is not identical with the symptom
of the patient, which is the reason why I used above
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the expression “stands for”. It expresses a similarity relation, not least because the repertorial
language makes certain restrictions and abbreviations necessary. If this were not the case, in our
previous example after the entry “sadness” the full
symptom of platina would have to follow, since only this fully matches the proving symptom. (By the
way this is a method that actually has been applied,
e.g. by Weber 1836 and recently in the “Symptomenlexikon” by Plate.)
Assessment and evaluation
of repertorial symptoms
Taking the origin as a basis, very often you differentiate between proving symptoms and clinical symptoms (cured in the patient). When proving symptoms are additionally found in patients and
these are cured by the remedy, then we talk about
verified symptoms. Often in a repertory it is not
possible to recognize whether you are in the presence of a proving or a clinical symptom or whether
the symptom has been verified. The degree of a
remedy gives a certain clue, but this has to be done
with great care as I will explain below.
Within the group of clinical symptoms there are
quite a few from which it is to be expected that
they will never or only very seldom occur during provings. Herein belong of course all severe
and dangerous pathological states, since probably no prover will ever be so heroical as to prove
a remedy long enough till for example an ulcer develops. In provings you will also not come across
the recurrence of a complaint every summer, for
the simple reason that provings are not conducted over such a long period of time.
In my opinion there is yet another group of symptoms, which often are called constitutional symp-
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toms (e.g. the color of the hair, the physique, etc.).
Unfortunately this term is somewhat problematic
because it implies two
completely different
groups of phenomena.
On one hand those who
could neither be produced by a proving nor
“cured” (as the color of
the hair). On the other
hand there are constitutional symptoms which
could be subject to alterations, as for example
the aversion to softboiled eggs. From an entry in the repertory it is
impossible to infer
whether it was the result
of a proving, in which
the prover unexpectedly
developed an aversion to
soft-boiled eggs, or if the
prover became jealous
all of a sudden or even
whether long years of experience showed homeopaths that a certain
remedy very often acts
favorably in patients who
had always showed an
aversion to soft-boiled
eggs or were prone to
become jealous.
What does this have to do with grades? In many
repertories you learn that remedies are put into
the highest degree if they have been verified re-
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peatedly. But the problem is that for quite a number of clinical symptoms and for all constitutional symptoms this is
not possible at all, because these cannot have
occurred in provings.
Therefore the terms
confirmation / verification should be replaced by a much weaker expression such as
“frequently observed in
practice” if you don’t
want to abandon them altogether.
A well-known classification which goes back to
Kent distinguishes symptom as common vs. peculiar and general vs.
particular. The first pair
makes the difference between how common,
usual and how peculiar,
unusual a symptom is. Of
course this is first of all
a homeopathic evaluation. The second pair
makes the distinction
whether a symptom affects the whole person,
i.e. is a general symptom (e.g. the improvement in the open air of
pulsatilla) or whether it is a distinct, specific symptom, affecting only a certain part (e.g. the improvement of cramping pain in the stomach by
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drinking small sips of cold water). On this subject
I recommend reading the excellent article published by W. Klunker in the journal “Klassische
Homöopathie” from 1988.
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the more precise it will be. (Example: Head - perspiration of scalp - forehead - night - midnight after - 4 h: stann.)
After these short considerations that are simply
meant as suggestions for further reflection, I will
try to specify more precisely what a repertory and
a repertorial symptom is.
Let me show what these four kinds of symptoms
imply for entries in repertories. As far as the number of remedies is concerned it follows that the
more “common” and more “general” a symptom
The Repertory
is, the more remedies are to be expected. The more
“peculiar” and the more “particular” a symptom
Definition: A repertory is a listing of symptoms
is, the less remedies are to be exin keywords in repertorial lanMy
pected. This, of course,
guage specifically develrepertory was only an alphameans that the remedy
oped for this purpose,
betical index, which would be of much
“that fits” is more
disposed according
help to find the necessary symptoms of the
likely to be found
to a specific strucremedies only in highest perfection. And mine
in bigger rubrics,
ture with the help
but also that this
has not yet reached such a stage of perfection.
of which reme“ideal” remedy
Therefore it’s not so bad that it will not be
dies are associatthreatens to get lost
published.
ed with symptoms
among the numerous
and it mainly serves first
Samuel Hahnemann.
remedies. Small rubrics on
to translate the patient’s
the other hand will tend to prove
symptoms into the repertorial lanhighly valuable for choosing a remedy, but at the
guage by means of a similarity relation and then
same time the danger grows, that they do not into find these in the repertory, in order to facilitate
clude the correct remedy. It is worthwhile to keep
the choice of the appropriate remedy among the
these pros and cons in mind, when selecting and
corresponding remedies.
using repertorial symptoms to choose the remedy.
On the other side there is a certain effect on the
formulation of a repertorial entry itself. The more
“common” and the more “general” a symptom is,
the more phenomena this formulation will cover,
in other words the less precise it will be. (Think
about amelioration by motion and all the different modes of motion.) The more “peculiar” and
the more “particular” a symptom is, the less phenomena the formulation will cover, in other words
The Symptom
Definition: A repertorial symptom is a linguistic
rephrasing of a symptom from a proving, a clinical case or from constitutional peculiarities which
occurred during cures and stands in a similarity
relation to a patient’s complaint and/or peculiarity mentioned by the patient himself, by a third person or observed by the doctor.
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The right Repertory?
Now the question certainly arises which repertory is the right one, the best or the most complete,
etc. I have left aside the question, what a symptom
is in a homeopathic sense on purpose. There are
so many answers to this question that in my eyes
it is impossible to talk about the “right” or even
the “complete” repertory. I will just give two examples: If, in my daily work, I deal exclusively with
mental and general symptoms, then I will not need
any symptoms that differentiate between extremely detailed toothaches. If on the other hand I only trust proving symptoms and maybe only those
from Hahnemann’s times, then of course I need a
repertory that fulfills these requirements.
In short: In the like manner as I talked about a
similarity relation between the patient’s symptom
and the repertorial symptom, in my eyes there is
also a corresponding relation between the way a
homeopath pursues homeopathy and the way a
repertory is build.
It would be desirable if the prefaces and introductions of the different kinds of repertories made
clearer statements about what the authors mean
exactly, when using the terms repertory and repertorial symptom, i.e. that the methodology would
be revealed in detail so that the practitioner could
find more easily the repertory that fits his specific needs.
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In the face of the complexity of repertories we have
only been able to hint at here, the words of Clemens
von Bönninghausen are comforting: “The more he
[the homeopath] gets to know, the less he still has
to search and, in the end, he will only occasionally have to give his memory a hand.”
Bibliography:
Hahnemann, Samuel. Die chronische
Krankheiten. Bd. V. 2. Aufl. Düsseldorf 1839.
Jahr, G.H.G. Systematisch-alphabetisches
Repertorium. Erster Band. Leipzig 1848.
Klunker, W. Homöopathische Propädeutik,
ZKH 2 (1988), 78-80.
Plate, U. Symptomen-Lexikon der Materia
medica. Vechele 2004.
Schroyens, F. Synthesis. Repertorium homoeopathicum syntheticum. Edition 7. Greifenberg
1998.
Weber, G.A. Systematische Darstellung der
reinen Arzneiwirkungen aller bisher geprüften
Mittel. Braunschweig 1836.
Peter Vint, Biologist
Hahnemann Institut
Herrmann-Köhl-Str. 18
D-86159 Augsburg
e-Mail:
[email protected]
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BY
OF THE
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R EINHARD R OSÉ
he history of the repertories is an exciting subject; you could fill a book with it, because
every single repertory that appeared during these
many decades has a history of its own. This article can only give the reader a very rough overview
about the development of repertories.
T
The term repertory derives from Latin “reperio”
(to find again, to get again). In modern language
you might translate “reperio” with “to find, to ascertain or to discover”. A repertory is a handwritten, printed or
in modern times
digital index (e.g.
a database) of
archived records.
1834-1835 Jahr brought to perfection Bönninghausen’s repertory in several editions (the fourth
appeared in 1851) and used four degrees like Bönninghausen.
1836 the repertory “Systematische Darstellung der
reinen Arzneiwirkungen aller bisher geprüfen Mittel” [systematic presentation of the pure remedy
effects of all remedies proved up to now] (with a
preface by Samuel Hahnemann) by Georg Adolph
Weber. This work is arranged in the logical structure of a repertory,
but contains the
complete symptom and not the
complex structure
of keywords like
the repertories of
today.
In homeopathy a
repertory is a
structured refer1838 Constantine
ence book for the
Hering published
materia medica
the first English edi(register or word
Kent’s repertory (sixth edition).
tion of Jahr’s reperindex) and unlike
The copy of Dr. Krishna Chandra Mittal, India,
tory (Repertory to
the latter not
with the addition of Kent’s personal corrections.
Jahr’s Manual).
arranged by
remedies but by symptoms. Accordingly you find
1880 C. v. Lippe’s Repertory, based on previous
remedies that caused such a symptom during a remworks, was published, (Repertory to the more
edy proving or cured it in a clinical case. Since the
Characteristic Symptoms of the Materia Medica).
early days of homeopathy repertories help home1889 the “Repertory of the Characteristic Sympopaths in their attempt to find the correct remedy.
toms, Clinical and Pathogenic, of the Homeopathic
Samuel Hahnemann already took the first steps to
Materia Medica” by Dr. Edmund Jennings Lee apstructure his information in a kind of repertory
peared. Lee based his repertory on the second Edi(“Fragmenta de viribus medicamentorum - Pars
tion of Lippe’s repertory together with additions
secunda”, Leipzig 1805), but it was his pupil
and notes from other contemporary homeopaths.
Clemens von Bönninghausen who published the
But Lee lost his eyesight and could not finish his
first functional repertory in 1832.
work. J. T. Kent got his incomplete manuscripts and
continued his work.
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T HE H ISTORY
OF THE
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Systematische Darstellung der reinen Arzneiwirkungen, [systematic representation of the pure
effects of remedies], Georg Adolph Weber, 1836, Vieweg, Braunschweig.
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1887-1889 under the supervision of J. T. Kent this
repertory was developed which, now in its sixth
American Edition, is well known to all contemporary homeopaths; its structure kept its validity to
the present day. Kent himself published several editions of this repertory (1908 the second edition).
After his death in 1916 the third edition, based on
a manuscript, was printed posthumously only in
1924. Later editions (the fourth appeared 1935,
the 5th 1945 and the 6th 1957) did not reach the
quality of the third edition that was based on Kent’s
manuscript and they may be considered slightly
changed and expanded versions published by his
pupils and his wife Clara-Louise. After this, several Indian editions with a great number of errors
were published. For a few decades no further
repertory followed, that took up the challenge to
further develop this work.
As late as 1973 Barthel and Klunker published the
first edition of the “Synthetic Repertory” in which
they added information from 16 authors in 5 main
chapters (mind, generalities, sleep, dreams and
sexuality). Barthel and Klunker never expanded
their work with more authors or chapters, but
mostly it was accepted as a new standard.
1987 “Kent’s Repertorium Generale” by Jost Künzli von Fimmelsberg and Michael Barthel appeared. In the course of many years of work as a
homeopath, Künzli had been incorporating important additions from other authors (e.g. T.F.
Allen, Bönninghausen, Boericke, Clarke, etc.) as
well as his own clinical experiences into this repertory which was based on Kent’s repertory. Additionally in the “Generale” you find the famous
“Künzli-dots”. With these dots Künzli highlighted
his own therapeutic experiences. The repertory
“Generale” already contained additions from 72
different sources.
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1993 the Hahnemann Institut (Germany) published the first German printed version of the repertory “Synthesis” by Dr. Frederik Schroyens, based
on the Radar computer version of this repertory
which as early as 1987 had been available as software. Synthesis was developed on the basis of the
sixth American edition of Kent’s repertory and contained all rubrics and remedies and further additions from more than 250 sources. In the present
edition of Synthesis (Edition 9)1 among others the
following works were completely incorporated:
Bönninghausen’s “Therapeutic Pocketbook” from
1846, Bönninghausen’s “Systematisch-Alphabetisches Repertorium” and C.M. Boger’s “Boenninghausen’s Characteristics and Repertory”. The
Edition 9 contains more than 800 sources and
more than 2,300 different remedies.
1995 the English and 2000 the German edition of
the “Complete Repertory” by Roger van Zandvoort
came on the market. Van Zandvoort also built his
repertory on the basis of the one by Kent. The printed versions are - like the repertory Synthesis - a
product of previous computer versions, which
from 1986 on were part of the program MacRepertory. The Complete Repertory also contains very
extensive additions from more than 500 sources.
1998 Raimund Friedrich Kastner published the
“Repertorium der homöopathischen Arzneimittel
und Genius-Hinweise” [Repertory of Homeopathic
Remedies and Hints on the Genius], based on the
“Therapeutic Pocketbook” from 1846, in which
were integrated all sources created or arranged
by Bönninghausen.
2000 appeared an edition of Bönninghausen’s
“Pocketbook”, revised by Dr. Klaus-Henning
Gypser, in which also a transcript of Bönning-
11
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T HE H ISTORY
OF THE
hausen’s personal copy has been integrated. Additionally further works by Bönninghausen, like
“Der homöopathische Hausarzt” [The Homeopathic Domestic Physician], “Die Körperseiten und
Verwandschaften” [The Sides of the Body and Relationships], and many more were integrated.
2005 the “Repertory Universale” by Roger van
Zandvoort was published. The Repertory Universale was built on the basis of the Complete Repertory. In this repertory the attempt was undertaken
to integrate Bönninghausen’s structure.
The Future of the Repertory
For years now homeopathy has been undergoing
changes. Almost daily a new homeopathic work is
published, whereby you may recognize that many
of those works are nothing more than reprocessed
or remodeled versions of homeopathic knowledge
that has existed for a long time.
Many new “trends” are emerging and homeopathic
groups are following one or the other homeopathic
guru. We also find differences of opinion about the
further development of repertories. What is considered a lack of information by one is considered
an excess by the other. What seems to be reliable
to one is suspect in the eyes of the other.
Diverse homeopathic groups have been working
on different projects, e.g. a revised materia medica from which in future a new “reliable” repertory shall emerge. This work cannot be valued
highly enough. But if you really want to achieve
such a monumental work, you need the patience,
endurance and first of all the indispensable personal and financial resources.
Our digital times offer enormous possibilities to
do fast information researches in extensive digi-
12
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R EPERTORIES
tal homeopathic databases. This means that the
time needed for such projects can be minimized
essentially by the use of the right (software) tools.
It is already possible to display different “views”
of a repertory on the screen with just a click of the
mouse (repertory Synthesis, Radar program). The
software user can have the repertory Synthesis displayed only with the entries of the “pioneers” till
1843 (Hahnemann), the “classics” till 1916
(Kent), the “modern times” till 1987 (Pierre
Schmidt) or only Kent or of course all available
entries of the repertory. Furthermore a user may
in a very easy way create his “personal” repertory by defining his own variant(s) / view(s) of Synthesis. Having access to the list of sources, the user
may “switch off” any sources that do not seem sufficiently reliable to him, thus obtainig his “personal” Synthesis. Furthermore it is possible to use
a so-called “confidence rate” for every single entry of a remedy, which further influences the quality of the additions.
These possibilities represent no problems for a
software solution. Via mouse click in principle you
may obtain any desired presentation of the repertory. The display of more or less “reliable” entries
in the printed book is a challenge for any publisher,
but at the same time of high importance for the
beginner in homeopathy. We developed a layout
which displays these differences as clearly and obviously as possible and will be used in the next
printed version of Synthesis.2
The Hahnemann Institut has been digitalizing
homeopathic literature for many years as a basis
for linking the original symptoms in the materia
medica with the additions inside the repertory, thus
making it possible for the homeopath to decide
23.07.2009
T HE H ISTORY
OF THE
for himself, whether or not a single addition is “reliable”. In collaboration with the developer of the
Radar software, special tools have been developed,
which in principle make it possible to build a
repertory per software, to link any remedy addition with the original text of the materia medica
and a lot more.
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R EPERTORIES
is still in use in “modern” repertories. The daily
bread of homeopathic anamnesis is to find the remedy that fits the patient. Therefore a repertory
should be as easy-to-use as possible, e.g. like Webster’s, in which you can find information fast. Unfortunately the structure and handling of repertories does not play a sufficiently large part in training seminars. The result is that often enough a
homeopath overlooks symptoms in his daily practice or simply does not find them, because he can’t
cope with the division into sides,
times, modalities,
extensions and localizations.
Tools of this kind make it possible to way “backward” - as opposed to the approach to start again
from scratch. Beginning from homeopathic literature that is already digitalized
(databases) and
which is extended
steadily, it is possible “to separate
Some of the early
the wheat from the
repertories were
chaff” in a simple
sorted alphabetimanner and build
cally. Maybe this
up a repertory that
could be an apmeets the expectaproach worth our
tions of the classi- Cut up pages from Kent’s personal copy, which Dr. Mittal consideration.
cal homeopaths
had cut into thousands of snippets.
It would be desirand at the same
able to be able to
time satisfies all those who have different expec“bundle” the work of the different homeopathic
tations regarding the content of a repertory.
groups and thus work with substantially higher efFurthermore the structure of a new repertory
ficiency in order to reach certain goals in much
should be reconsidered. Homeopaths of today shorter time than it is the case today. Such a proesp. those who are not yet very experienced - very
ject would also result in merging the homeopaths
often are unable to cope, when asked to find a
of the different groups into one community again.
symptom according to the Kentian structure, which
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H ISTORY
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R EPERTORIES
R EINHARD R OSÉ
1805
Hahnemann, Samuel
Fragmenta de viribus medicamentorum
positivis in sano corpore humano observatis –
Pars secunda
1817
Hahnemann, Samuel
Symptomenlexikon
1826
Hartlaub, Carl Georg
Systematische Darstellung der reinen
Christian
Arzneiwirkungen
1830
Weber, Georg Adolph
Systematische Darstellung der
antipsorischen Arzneimittel
1831
Rückert, Ernst Ferdinand
Systematische Darstellung aller bis jetzt
bekannten homöopathischen Arzneien
1832
Bönninghausen,
Clemens von
Systematisch-Alphabetisches Repertorium der
Antisporischen Arzneien
1833
Bönninghausen,
Clemens von
Versuch einer homöopathischen Therapie bei
Wechselfieber
1833
Glasor, Dr.
Alphabetisch-nosologisches Repertorium
der Anzeigen zur Anwendung der bis jetzt
bekannten homöopathischen Arzneien in
verschiedenen Krankheitszuständen
1834
Jahr, Georg
Heinrich Gottlieb
Systematisch-alphabetisches Repertorium
im Handbuch der Hauptanzeigen für die
richtige Wahl der homöopathischen Heilmittel
1834
Haas, Johann Ludwig
Repertorium für homöopathische Heilungen
und Erfahrungen
1835
Bönninghausen,
Clemens von
nicht-antisporischen Arzneien
1836
Weber, Georg Adolph
Systematische Darstellung der reinen
Arzneiwirkungen aller bisher geprüften Mittel
1838
Hering, Constantine
Repertory to Jahr’s Manual (das erste
englische Repertorium)
1838
Ruoff, Joseph Fredericus
Repertorium für die homöopathische Praxis
1841
Hull, A. Gerald
Hull’s Jahr, A new manual of Homeopathic
Practice
1842
Lafitte, P. J.
Pure Symptomatology or synoptic pattern of
all the Materia medica
1846
Bönninghausen,
Clemens von
Therapeutisches Taschenbuch
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R EPERTORIES
1848
Jahr, Georg Heinrich
Gottlieb
Ausführlicher Symptomen-Kodex der
Homöopathischen Arzneimittellehre
1848
Müller, Clotar Moriz
gesammten Homöopathischen Arzneimittellehre
1848
Trinks, Karl Friedrich
Handbuch der homöopathischen
Arzneimittellehre
1849
Gottlieb
Alphabetisches Repertorium der Hautsymptome
und äußeren Substanzveränderungen
1849
Gottlieb
Klinische Anweisungen zu homöopathischer
Behandlung der Krankheiten
1850
Gottlieb
Alphabetical Repertory of the Skin Symptoms
– translated by Hempel
1850
Dudgeon, Robert Ellis
Pathogenetic Cyclopedia
1851
Bryant, Joel
A Pocket Manual or Repertory
of Homeopathic Medicine
1853
Possart, A.
Alphabetisches Repertorium zur Characteristik
der homöopathischen Arzneien
1853
Hempel, Charles J.
The Complete Repertory
1853
Bönninghausen,
Clemens von
Die Körperseiten und Verwandtschaften
1859
Dudgeon, Robert Ellis
Repertory of the Homoeopathic Materia Medica
1861
Snelling, Frederik
Hull’s Jahr revised and edited
1868
Gerhardt, Adolph von
Kurzgefasstes systematisch-alphabetisches
Repertorium (im Handbuch der Homöopathie)
1868
Hoyne, Temple
Repertory of the new remedies
1869
Berridge, Edward William
A Repertory of symptoms of the eyes and head
1869
Bell, James B.
Homeopathic Therapeutics of Diarrhoea
1872
Hirschel, Bernhard
Der Homöopathische Arzneischatz in seiner
Anwendung am Krankenbette für Familie
und Haus
1873
Berridge, Edward William
Complete Repertory to the Homeopathic
Materia Medica – Diseases of Eyes
1875
Hering, Constantine
Analytical Therapeutics
1876
Hart, Charles Porter
Repertory of new remedies
1879
Allen, Henry Clay
The Therapeutics of Intermittent Fever
1879
Lippe, Constantine
Repertory to the More Characteristic
Symptoms of the Materia Medica
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R EPERTORIES
1879
Gregg, Rollin R.
An Illustrated Repertory of pains in chest and back
1879
Guernsey,
William Jefferson
A Repertory of menstruation
1879
Eggert, William
Uterine and Vaginal Discharges
1879
King, John C.
A Repertory of Headaches
1880
Allen, Timothy Field
The Symptom Register
1880
Lippe zur, Constantine
Repertory to the more Characteristic
Symptoms of the Materia Medica
1880
Worcester, Samuel
Repertory to the Modalities
1881
Hering, Constantine
Analytical Repertory of the Symptoms
of the Mind
1882
Guernsey,
William Jefferson
The Homeopathic Therapeutics of Haemorrhoids
1883
Allen, William A.
Repertory to the Symptoms of Intermittent Fever
1884
Lee, Edmund Jennings
und Clark, George Henry
Cough and Expectoration
1886
Winterburn, George W.
Repertory of the most characteristic symptoms
1888
Gramm, Theodore J.
Repertory of the urinary Symptoms
1888
Neidhard, Charles
Pathogenetic and clinical Repertory of the most
prominent symptoms of the head, with their
concomitants and conditions
1889
Guernsey,
William Jefferson
Guernsey’s Boenninghausen Slips
1889
Lee, Edmund Jennings
Repertory of the Characteristic Symptoms
of the Homeopathic Materia Medica
1890
Gentry, William D.
The Concordance Repertory of the More
Characteristic Symptoms of the Materia Medica
1892
Norton, A. B.
Ophthalmic Diseases and Therapeutics
1893
Shannon, S. F.
Complete Repertory to the tissue remedies of
Schüssler
1894
Holcomb, A.W.
Sensations As If
1894
Jones, Stacy
Bee-Line Repertory
1896
Knerr, Calvin B.
Repertory of Hering’s Guiding Symptoms
of our Materia Medica
1896
Clarke, John Henry
Heart Repertory
1896
Douglas, M.E.
A Repertory of tongue symptoms
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R EPERTORIES
1897-1899 Kent, James Tyler
Repertory of the Homoeopathic
Materia Medica
1898
Lutze, F.H.
Therapeutics of facial and sciatic neuralgia
with clinical cases and repertories
1898
Pulford, Alfred
Repertory of the Symptoms of Rheumatism,
Sciatica, etc.
1900
Hughes, Richard
A repertory of the Cyclopaedia of Drug
Pathogenesy
1900
Boger, Cyrus Maxwell
A systematic alphabetic Repertory of the
homoeopathic remedies (C.v. Bönninghausen)
1904
Clarke, John Henry
A Clinical Repertory of Materia Medica
1905
Boenninghausen’s Characteristics and Repertory
1906
Boericke, Oscar Eugene
Homoeopathic Materia Medica with Repertory
1915
Synoptic Key to the Materia Medica
1922
Field, Richard
Symptom Register
1924/5 Boger, Cyrus Maxwell
The General Analysis
1929
Stauffer, Karl
Symptomenverzeichnis nebst verrgleichenden
Zusätzen zur Homöopathischen
Arzneimittellehre
1932
Additions to Kent’s Repertory
1936
Schwabe, Wilmar
Leitfaden für die homöopathische Praxis
1937
Roberts, Herbert A.
Sensation As If – A Repertory of Subjective
Symptoms
1939
Ward, William James
Unabridged Dictionary of the Sensations As If
1939
Roberts, Herbert A.
Repertory of the Rheumatic Remedies
1948
Broussalion, George
Card Repertory
1955
Sankaran, Pichiah
Card Repertory
1959
Kishore, Jugal
Card Repertory
1960
Keller von, Georg
Künzli v. Fimmelberg, Jost
Kents Repertorium der homöopathischen
Arzneimittel
1963
Phatak, S.R.
A Concise Repertory of Homoeopathic
Medicines
1965
Dorcsi, Mathias
Symptomenverzeichnis
1973
Barthel,
Horst Klunker, Will
Synthetisches Repertorium 3 Bände (Gemüt,
Allgemeines, Schlaf, Träume, Sexualität)
1974
Vithoulkas, George
Additions to Kent’s Repertory
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R EPERTORIES
1975
Leers, Hans
Leers Kartei
1980
Chand, Diwan Harish
Schmidt, Pierre
The Final General Repertory
1981
Sastry, G. S. R.
Sequelae
1984
Eichelberger, Otto
Kent Praktikum
1987
Künzli von Fimmelsberg,
Jost
Kent’s Repertorium Generale
1990
Aggarval, Devika
The Applied Repertory
1993
Schroyens, Frederik
Synthesis Repertorium Homeopathicum
Syntheticum
1993
Murphy, Robin
Homeopathic Medical Repertory
1995
Zandvoort, Roger van
The Complete Repertory
1998
Kastner,
Raimund Friedrich
Bönninghausens Repertorium der
homöopathischen Arzneimittel und
Genius-Hinweise
1999
Bakshi, J. P. S.
The Phoenix Repertory
2000
Gypser, Klaus-Henning
Bönninghausens Therapeutisches
Taschenbuch revidierte Ausgabe von
Bönninghausens Taschenbuch
2005
Zandvoort, Roger van
Repertorium Universale
This timetable makes no claim to be complete. Due to lack of space the “smaller” Repertories (of few
pages or published in journals) had to be omitted, unless they were well-known (e.g. “General Analysis” by Boger).
Reinhard Rosé
Hahnemann Institut
D-86926 Greifenberg
Tel: 0049-8192-93060
e-Mail: [email protected]
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B ÖNNINGHAUSEN ’ S
“T HERAPEUTISCHES TASCHENBUCH ”
BY
DR.
MED .
K LAUS H OLZAPFEL
n 1832, three years after he himself started his
homoeopathic practice with the treatment of his
cousin, the writer Annette von Droste-Hülshoff,
Clemens Maria von Bönninghausen (1785-1864)
wrote the first repertory suitable for practical purposes under the title “Systematisch-Alphabetisches
Repertorium der Antipsorischen Arzneien”. One
year later the second, enlarged edition followed
and in 1835 the “Systematisch-Alphabetische
Repertorium, Teil 2, enthaltend die Nicht-antipsorischen Arzneien”
[second part, containing
the not-antipsoric remedies] was published.
This work in two volumes is the model for
many later repertories,
such as Kent’s repertory
and his expanded successors.
I
The two higher degrees (3rd and 4th degree) also follow Hahnemann’s type of display: the third
degree indicates that the remedy did remove the
symptom in question once or a few times, while
the fourth degree tells you hat the remedy did this
several times. These verifications ab usu in morbis are derived partly from Hahnemann’s prefaces
to the provings in the “Chronic Diseases”, where
he also indicated the frequency of cures by spaced
letters, partly from the
experiences of Bönninghausen and of others. But Hahnemann’s
prefaces did not only
contain verified proving symptoms, but also purely clinical ones,
i.e. signs that were observed exclusively during the cure, which also
entered into the two
An important feature of
higher grades, as well as
these early indices is the
those signs that were
emphasis laid upon the
only found ab usu at the
characteristic of remesickbed by BönningClemens Maria von Bönninghausen
dies by way of four dehausen and others and
1785 – 1864
grees, which are prewhich had not been obsented by different font types. The two lowest grades
served in the provings.
indicate the frequency of the appearance of sympBönninghausen’s early work is also characterized
toms in the remedy’s proving: the lowest (1st) deby a precise processing of the Materia Medica, split
gree means that the proving symptom appeared
up in the presentation of the pure proving symponce in the remedy’s proving. The second shows,
toms, i.e. the pure Materia Medica on one hand
that the symptom had been observed several times
and the verified as well as the purely clinical sympor by several provers. This type of indication had
toms on the other. Unfortunately he did not disbeen used already by Hahnemann in his “Matericriminate between the last two, so that for remeae Medicae” by printing the text of the symptom
dies in higher degrees it is not possible to know
in simple or extended type respectively.
19
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B ÖNNINGHAUSEN ’ S “T HERAPEUTISCHES TASCHENBUCH ”
whether it is a verified proving symptom or an exclusively clinical. This important distinction has only been done by G. H. G. Jahr in his works.
firming the verification of the proving symptoms.
The repeated verification of a purely clinical symptom (degree 4) also raises the probability that this
is a characteristic of the remedy, while a single observation of an ab usu symptom represents a very
insecure criterion.
The Pure Materia Medica is reflected in the degrees
one and two. Whereas the first degree still contains a certain uncertainty whether the symptom
observed during the proving may in the end not
This extensive explanation of the grading in Bönhave been caused by the remedy at all,
ninghausen’s repertories seems necesbut has occurred by chance, the
sary, because almost all conWhile
repeated observation, also
temporary repertories sufKent had composed his
done by several provers
fer a great loss of reliarepertory as an aid for his personal
- degree two - indibility from the reuse, and during this process acquired a
cates that this is a
duction to three
growing and lively knowledge about what had
reliable proving
degrees, particto be done to the original symptoms in order to
symptom. Furularly by mergforce them into the Procrustean bed of the rubrics
thermore this
ing the first
and about how precariously inprecise this work is, afsymptom atand the secter being printed, - something the general public cotains the rank
ond degree
erced him to do (leaving him afterwards to sit on the
of a characinto one (that
first edition) - the repertory later on got into ideologiteristic when
becomes the
cal waters and became a mainstay of passive connot only it was
lowest of three
sumption, of a passivity that uses the rubrics
registered by
degrees), bethoughtlessly, it also became an ideology that
several provers
cause especially
regards the rubrics as untouchable and
but also under difBönninghausen’s
unquestionable authorities.
ferent circumstances,
second degree indiWill Klunker in the editorial
body regions or organ syscates in most cases a charof ZKH /1982.
tems, i.e. that in a way it runs
acteristic or even a genius sympthrough the remedy proving from
tom, while his first degree stands for a
head to foot either as a sensation (burning, stitchrather uncertain symptom.
ing, etc.) or as a modality (< motion, > cold
Bönninghausen intended to publish his earliest
drinks, etc.) or as a concomitant symptom (chillrepertory in one volume together with additions.
iness, irritability, etc.), like a genius. (A genius
symptom therefore is a symptom that has been
But meanwhile he had made the important expeclearly observed by several provers and appeared
rience that most of the symptoms resulting from
several times in different body regions.)
remedy provings were incomplete. Often the
The third and fourth degrees further secure the
characteristic of the remedy, by showing how the
remedy proved its value at the sickbed, thus con-
20
provers did not mention the exact localization of
a symptom, the sensation was often not expressed
individually enough, and especially the aggrava-
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Seite 21
tions or ameliorations according to time, position
and accompanying circumstances were often missing, so that bigger gaps arose. Moreover experience had further shown him that a sensation or
modality, when it took place at different but not all
body regions during the remedy provings, still
could be transposed to the missing regions, as long
as it had been observed throughout, as for example the stitching pains from the inside to the out-
another way of arrangement. From the more or
less complete symptoms he extracted the single elements of localisations, sensations (herein also belong the activities of the organism like bowel movement, vomiting, urinating, but also the consistency of discharges) and modalities and organised
them in different sections.
Now the elements stood isolated on their own and
could freely be combined into a complete symp-
Two pages from Bönninghausen’s manuscript of the “Therapeutisches Taschenbuch”, ca. 1840.
Copyright owner: Institut für Geschichte der Medizin of the Robert Bosch Stiftung, Stuttgart,
Germany.
side characteristic of Asa foetida. Thus this remedy could be given successfully also in the case of
a similar kind of toothache, even if this type of
toothache did not occur during the proving.
Thus a repertory should be developed that should
be completed by experience as well as by analogy i.e. the transfer of characteristic elements of
symptoms. But even in an early stage this work had
grown to such a size, that Bönninghausen chose
tom. But since only such elements of symptoms
are suitable for combining which run through the
remedy proving in the sense of a genius, one has
to consider that only the degrees two to four qualify for this purpose.
Hereby symptoms are synthesized which did not
show up in the remedy proving in this form, and
this means, that when comparing the signs of the
case with the signs in the remedy proving you will
21
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Seite 22
often fail to find them. But this does not raise a
problem, as long as only the characteristic elements are to be found in the remedy proving. This
procedure had been legitimated by the numerous
experiences Bönninghausen was able to make and
it could be reproduced in many practices, including the author’s. This means, that with the help
of this kind of case analysis and search for the remedy we get a supplementation and expansion of the
older method, which used a repertory organised
by regions, in which not disassembled symptoms
are put into rubrics, as we are used to from Kent’s
repertory.
Suited for this kind of approach with the “Therapeutic Pocketbook” are all such cases whose
anamnesis brings forth complete symptoms, i.e.
such characterized by explicit localisations, sensations and as many modalities as possible. This
is especially true for the main symptom, i.e. the
one which for the patient stands up front, and by
all means also for the secondary symptoms that
often developed together with or after the main
symptom, but which may also have existed before.
Against the objection cases with many general
symptoms should better be treated with Kent’s
repertory you may hold that the chapter “generalities” in Kent is essentially recruited from rubrics
of the “Therapeutic Pocketbook”, although considerable changes took place both regarding the
degrees and the list of remedies within a rubric.
Especially due to the merging of the first and second degree into one, the possibilities of recognition of the characteristics of a remedy are highly
restrained.
The “Therapeutic Pocketbook” is by all means particularly suited for chronic cases, as long as distinct and well observed symptom elements are present, as I said before
22
A further objection refers to the seemingly short
list of “only” 125 remedies in the “Therapeutic
Pocketbook”. The reply to this is: those who use
the “Therapeutic Pocketbook” in their practice get
along with these remedies in most cases, even
though not always.
Further points of criticism shall only be mentioned
briefly: the conversion of rubrics, e.g. the creation
of the rubric “amelioration in the dark” by taking
the remedies from the rubric “aggravation from
light in general”. The violation of the principle of
combination by modalities which are bound to a
localisation like e.g. “< when walking on cobblestone pavement” or “> by washing of the face”.
But those are problems that hardly impair the success of the practical work.
A further question is, whether it is always legitimate to expand symptoms with elements that were
derived from analogy, whether this may even be a
law of nature or whether it should be restricted
only to singular cases: this only the practice, i.e.
the empirical method can decide, since the “wide
field of combinatory practice”, as Bönninghausen
called it, itself is pure empiricism. Anyhow, the
growing popularity of the “Therapeutic Pocketbook” in therapeutical circles and last but not least
the results of an extraordinarily successful scientific study made in Switzerland that was undertaken
using the “Therapeutic Pocketbook” speak for
themselves.
Dr. med. Klaus Holzapfel
Alte Weinsteige 40
D-70180 Stuttgart
23.07.2009
R EPERTORIES
BY
DR.
RER . NAT.
n the light of the ever growing size of the repertories currently in use it seems like an anachronism that in the last years the comparatively tiny
repertories “General Analysis” and “Synoptic Key”
by C. M. Boger are finding more and more attention. In a way you can’t help thinking about “incompleteness” and it almost seems “bold” that
these small repertories claim such a wide range
of application for themselves. But for some
homeopaths these books
have become the most important tools in the practice. How can this work?
I
BY
21:06 Uhr
Seite 23
C. M. B OGER
N ORBERT W INTER
fore the challenge lay in the selection of those specially suited symptoms and of those rubrics analog to them. Whether a similarity relation is based
upon the comparison of a simple symptom or on
the level of particularly central symptoms or even
on an all imbuing “golden thread” has an effect
on the size of the analog rubric. For such a deepened level of repertorization small, cautiously reduced and condensed
rubrics are characteristic.
C. M. Boger (1861 1935) developed his
repertories in the heyday
First a brief historical outof American homeopathy:
line: As already impresfirst “Boenninghausen’s
sively documented in earCharacteristics and
lier editions of GudjonsRepertory”, later the “SynAktuell, in the second half
optic Key” and finally an
of the 19th century homeextraction from it, the
opathy flourished in a way
“General Analysis”. The
never reached again. The
“Synoptic Key” contains
experience of 60 to 70
an incredibly compact
years of homeopathic hisC. M. Boger
condensate
of the collecttory at the time of its pubed experiences of those days. Homeopathy was on
lication, the fruits of an academic training system,
the summit of its expansion and thus the docuan enormous variety of applications in medical
ments of that time represent an enormous help for
practices, clinics and colleges were based on a way
the application of homeopathy today. In this work
of thinking that was sustained on detailed knowlan extremely short and succinct presentation of
edge of materia medica and its immediate cliniremedies has been combined with an enormouscal validation. The permanent confrontation with
ly concise repertory and - this was something new
severe pathologies and acute emergencies forced
- both parts were even more interweaved by an
to put the homeopathic armamentarium on a
“supplementary register” [Ergänzungsregister], so
grounding that was as secure and reliable as posthat a totally unique way of case analysis could arise
sible and at the same time manageable. Often a few
from it. No exhaustive repertory is necessary for
well worked out and particularly remarkable sympthis, but an exact evaluation, which symptoms
toms - in the hands of experienced practitioners
could assume a central position. This leads to a
- immediately lead to the wanted remedy and there-
23
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R EPERTORIES
browsing in different parts of the book - a work
which in this form may rather be accomplished
with the book than with the computer. In most cases only such symptoms will be collected, that have
shown throughout the history of homeopathy that
they pervade the remedy proving, stand at a central position in the patient’s symptomatology and
could be verified clinically often enough. Short sketched
essences of the remedy contain a wealth of information
that unfolds only during a
close study of the remedy.
Thus the enormously high requirements on the symptom
also explain the conciseness
of the rubrics.
BY
Seite 24
C. M. B OGER
1) A pervasion in space: common aspects of different, actual complaints like e.g. left sided sore
throat, left sided ovarian pain and left sided pain
in the knee allow the application of the rubric
“left”. Or burning sore throat, ovarian pain and
pain in the knee lead to the rubric “burning”. Also the concentration of a severe pathology on a
organ system or its destruction allow an approach of
this kind and this forges
links for example with the
organo-pathological approaches of J. C. Burnett in
the case of tumor affections.
2) A pervasion in time: here
the attention is directed towards aspects that are present now but also in analoWhen applied correctly, this
gous way earlier (the biogrepertory proved to be exraphy of the patient) or even
tremely efficient in practice.
also affected ancestors (famOnly the work with the someily history). For example the
what bigger general rubrics
current pathology thyroiditis
prevented fast action now and
on the background of an
then. Therefore it stood to
earlier experienced pancrereason that Boger had an exTitlepage of “General Analysis” by
atitis and parotitis allows to
tract of the “Synoptic Key”
C. M. Boger
focus on the affected “glan(“General Analysis”) - comdular” tissue and to apply the corresponding rubric
posed of general rubrics - put on punch cards, thus
in Boger’s repertories. The choice might be further
enabling fast finding of a remedy by laying well chounderlined by glandular affection in ancestors. In
sen punch cards on top of each other.
an analogous way also the left sidedness or the
Now what are the criteria that entitle us to use
burning may prove to pervade in time. This securrubrics of the “Synoptic Key” and the “General
ing of characteristic symptoms regarding time inAnalysis”? A basic knowledge of the approaches
tegrates in a completely natural and unspectacuof C. M. v. Bönninghausen and G. H. G. Jahr surelar way hereditary miasmatic considerations as they
ly will help. Further research and the daily prachave been explicitly formulated in detail by Boger’s
tical work suggest following requirements:
contemporary J.H. Allen.
24
23.07.2009
R EPERTORIES
3) A pervasion of quality: This is the most difficult
point. It is necessary to work out symptoms that
stand out from the whole symptomatology as
unique, intense, outstanding modality, sensation,
concomitant, etc. Closest to this is the keynote
method of H.N. Guernsey, not to be confused with
later distortions of this way of thinking that brought
the word “keynote” into discredit. An example
could be “perspiration at uncovered parts” in Thuja, a symptom of such a high quality, that in all likelihood its occurrence in the patient is coupled with
a thuja symptom totality.
Soon it becomes clear that this way of thinking puts
enormous demands on both the user and the
repertory - no easy way and not a way to begin with.
But on the other hand it becomes discernable that
this way of thinking bridges different strategies of
case analysis - and above all enables high efficiency
in practice. Admittedly a lot of time is necessary
to study the remedies meticulously, a lot of time
for a comprehensive anamnesis - but hardly any
more time is lost with the technical work of repertorization. Boger’s repertories draw the attention
mainly to the study of remedies and the perception of the patient, they function as advisors and
as guides in the jungle of possibilities - and thus
force the user to return to the ideals of the early
“old masters”.
BY
21:06 Uhr
Seite 25
C. M. B OGER
Literatur:
C. M. Boger: "Boenninghausen’s Characteristics &
Repertory" ind. B. Jain-Verlag, New Delhi
C. M. Boger: "General Analysis" ; deutsche Ausgabe
im Verlag B.v.d. Lieth
C. M. Boger: "A Synoptic Key of the Materia medica" ; 5. indische Ausgabe – B. Jain, New Delhi
deutsche Übersetzung von Jens Ahlbrecht, Verlag
B.v.d. Lieth
C. M. Boger: Collected Writings. (Hrsg. Bannan)
Edinburgh, Churchill Livingstone, 1994 (vergriffen,
aber die meisten Artikel finden sich auf der Homepage von Jürgen Hofäcker „www.link3.com“)
Die Homöopathie C. M. Bogers – Grundlagen und
Praxis – Bd 1 und 2 ; Hrsg.: J. Ahlbrecht und N.
Winter; Verlag B.v.d. Lieth 2005 und 2007
N. Winter: "Der Schlüssel zu C.M. Bogers Synoptic Key“; Verlag B.v.d. Lieth
Homöopathie-Zeitschrift: Sonderheft zum Thema
Bönninghausen-Boger
Dr. rer. nat.
Norbert Winter
Haid- und Neu-strasse 5a
D-76131 Karlsruhe
25
R EMARKS
23.07.2009
ON THE
21:06 Uhr
Seite 26
H OMEOPATHIC M EDICAL R EPERTORY
BY R OBIN M URPHY
BY
D R . B EATRIX G ESSNER
or 14 years I have been working primarily with
the “Murphy” as repertory in my practice.
Here a brief account of my experiences with it.
F
In this repertory I like the clarity and handiness
in conjunction with a good reliability of the
sources.
The repertories from Kent and Knerr have been
used as basis, as well as reliable sources from authors like Allen,
Bönninghausen,
Boericke, Boger,
Burnett, Dewey,
Farrington,
Guernsey, Hering,
J a h r, K ü n z l i ,
Lippe, Nash,
Phatak, Tyler,
Vithoulkas.
As you can read in the preface, it is the aim of the
“Homeopathic Medical Repertory” by Robin Murphy to be a modern, practical and easy-to-use guide
through the copiousness of the homeopathic materia medica.
This seems to me to be accomplished.
Wherein does the “Murphy” differ from other
repertories?
Alphabetical
Order
Splitting up of
big chapters
Additional
chapters (children, pregnancy, first aid,
toxicology,)
Clinical rubrics
Index of words
Being used to the
Robin Murphy
English version of
The alphabetical
Kent’s repertory,
order facilitates quick location of rubrics.
the English edition did not raise any problems, and
The big chapters are split up; you find local sympjust recently a very appealing, expanded version
toms directly under the corresponding chapter, for
is available in German as well.
example under arms, hands, wrists, bones, musI do not claim to be exhaustive in the following decles, joints,
scription, it is meant as a report out of a homeoThere are additional chapters and especially the
pathic practice.
extra chapters for children and pregnancy
The striking features of Murphy’s repertory are its
proved very valuable in my practice.
clarity and its easy handling. Its structure accomThe great number of clinical rubrics is an immodates the need of the homeopath to locate the
provement and may be used for further guidance.
wanted rubrics easily and also to find out the patient’s symptoms as rubrics. The optically very succeeded print turns the work with this repertory into a relaxing, pleasant task.
26
The time modalities are well represented and reliable, and were for me often a great help in choosing the remedy.
R EMARKS
ON THE
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21:06 Uhr
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H OMEOPATHIC M EDICAL R EPERTORY
R OBIN M URPHY
BY
The Index of words at the end of the book is very
valuable and of practical use, it is an alphabetical
index that helps find rubrics and clinical diagnoses
fast (e.g. Achilles’ heel, mononucleosis, mollusks,
carpal tunnel syndrome, epilepsy, ...).
garding “Murphy”. But the author refers to the
sources mentioned in other repertories like “Synthesis” or “Complete”.
Therefore this repertory seems to me also very
much suited for colleagues who are making their
first steps and want to find their way to repertorization.
During my courses it happened once in a while
that during a detailed analysis and repertorization
of solved cases from my practice, the participants,
who usually work with other repertories, were not
able to solve the case adequately, because the
rubrics are not always identical.
Incidentally, the optical arrangement in head and
subrubrics is also very pleasant.
I take it for granted one could also come across
examples the other way round.
The repertory is light and handy, well suited for
home visits or for travelling.
For me personally this repertory stood the test brilliantly.
On account of the manageableness the sources for
the single “additions” were deliberately spared.
This surely is the biggest point of criticism re-
I can only recommend it and I am glad that now
a German version is also available.
Dr. Beatrix Geßner
Wessenbergstr. 19
D-78462 Konstanz
Tel.: 0049 - 7531 16 257
[email protected]
27
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M Y P HILOSOPHY
BY
M
D AVID WARKENTIN
ost people associate me with the programs I
created, MacRepertory and ReferenceWorks,
but it is the philosophy and mystery of homeopathy
that is my passion and led to their development. The
blending of the depth, sensitivity and power of the
homeopathic approach with the speed and range of
the computer has the potential to create a quantum
leap in homeopathy. To loosely paraphrase Marshall
Macluen the way that we work with information determines its capacity. Just as homeopathy could not
have existed without the newly invented printing press
whatever is coming in homeopathy
will rely heavily on
the special abilities
of the computer. In
the process of creating for this new
medium we have a
lot to reconsider.
ed at 4 levels. At the the first, most critical, level you
only take into account the pathological symptoms no mentals or generals; this prescription heals the
major complaint. The second level was that of the
emotions; most people have an emotional state that
is the stressor that results in the disease, so the emotions need to be treated as well. At this level we take
into account the fears, angers, and some generals.
The third level is the inherited one and one prescribes
based on the general miasmatic characteristics; this
prescription softens the general approach to life (i.e.
tending towards
destruction, or desiring escape,
etc.). And finally
the deepest level
the general physical type: phosphoric, calcaric,
flouric, etc. This
last prescription
In that spirit I will
supported the bashare a bit of what
sic structure of the
I have observed
Massimo Mangialavori, David Warkentin
person. Generally
and Betty Wood
and understood.
he’d prescribe the
In 1974 I began studying homeopathy. I was fortupathological remedy in a 6c daily at the same time as
nate enough to apprentice for a few years with one
the emotional remedy once a week and the miasmatic
of the greatest prescribers, Bill Gray, and through him
remedy once a month.
was deeply exposed to George Vithoulkas. Through
Francisco’s prescribing was profoundly disturbing to
Bill and George we came to understand that it was
me. Vithoulkas had taught that giving remedies solepossible to prescribe effectively by combining the
ly for the pathology would result in serious suppresemotional state and the generals and our case taking
sion only aggravated by such repeated low potencies.
technique focused intensely on the psychological. One
(The sense of danger inherent in prescribing was
remedy was prescribed, most often in a range of 200c
reminiscent of what Kent said in Hepar “It is well for
to 10m and carefully repeated every few months at
you to realize that you are dealing with razors when
the most frequent.
dealing with high potencies. I would rather be in a
In 1980 I became friends with the great Argentinian
room with a dozen Negroes slashing with razors than
homeopath, Francisco Eizayaga. His case analysis was
in the hands of an ignorant prescriber of high poradically different from what I had been exposed to.
tencies. They are means of tremendous harm, as well
Francisco believed that all patients needed to be treatas of tremendous good.”)
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M Y P HILOSOPHY
But rather than harm I saw that Eizayaga had many
brilliant, actually amazing, cures of deep pathology.
It was hard to judge his prescribing as faulty after seeing the results and coming to respect him as a sincere, deep and thoughtful man. At the same time it
was very hard to reconcile his prescribing with the
philosophy of Kent and Vithoulkas.
Meanwhile I saw that suppressed did exist; it appeared
that very rarely I did suppress my patient’s symptoms
(despite prescribing very infrequently and always for
the deepest part of the person I could see). I remember clearing up a very chronic rash only to have
the young man report 6 months later that he seemed
more emotionally fragile than before.
I went to India and sat in with very skillful prescribers
who saw 20 people an hour and seemed to help a lot
of people. It was a revelation to see that one could
prescribe quickly and still do good work. Later I saw
Vega Rosenberg prescribe incredibly effective remedies after only a few minutes of consultation. And
sometimes prescribing very high potencies daily.
Over the years I have had the opportunity to study with
dozens of the world’s greatest and most experienced
homeopaths. Many of whom prescribed very, very differently from one another and all seemed to have very
impressive results.
How to make sense of all of this? After almost 30 years
I still have no certainty but have an outlook that works
for me. It is different from the beliefs of some of my
favorite prescribers which is disturbing to me; my
hope is that there is not s single truth but a variety of
approaches that are effective if applied in a consistent way.
Here’s what I think these days. Much of this is due to
either Massimo Mangialavori or Rajan Sankaran, the
two homeopaths who have had the most profound
impact on my understanding over the last 10 years.
Most people can be helped by a wide range of similar remedies (we prescribe successfully through the
Law of Similars, not Exacts, and there are many similars).
Polychrests are the remedies that are most often prescribed; remedies such as Sulphur, Calcarea, Pulsatilla, Sepia, Lycopodium, Mercury, etc. These are
the remedies that we know very well; the ones that
appear most often in our analyses.
Most of us assume that remedies become “polychrests” because they are more useful than other
remedies; they are “remedies of many uses”; that Pulsatilla nigricans is far more useful than it’s virtually
unknown cousin Pulsatilla nuttalliana (Puls-n); that
Lachesis is far more likely to work in a given case
than Hydrophis cyanocinctus, the sea snake. We assume that enough research has been done that previous homeopaths knew which substances fit large
numbers of people and which didn’t; that there was
a logical approach to choosing which remedies are
proven and incorporated into our materia medica.
But this isn’t the case.
Substances became remedies because they were already used herbally or medicinally, were poisons, or
were in the news. Sometimes it was because of a myth
associated with them, or simply whimsy. Very very few
of the millions of substances on the planet have been
proven homeopathically. Given the way that substances
have become remedies it is very unlikely that the patient’s simillimum is in our pharmacopeia.
But here we have a piece of luck. It turns out that most
people will respond well to a wide range of remedies. If we give a similar remedy (i.e. Lachesis instead
of the more exact remedy, say Hydrophis) we will usually get a good response. What is most important is
that there is a range of similarity; the more similar,
the better the response. The law of similars allows us
to help many people even if we only know a couple
dozen remedies.
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M Y P HILOSOPHY
Usually when we give a polychrest we are using it as
the best known example of a constellation of symptoms, a sort of myth or story.
One of the most dangerous myths that have been
spread is that polychrests are more likely to act than
a relatively rare remedy.
This simply isn’t true. There are no remedies that
rarely work, only unknown remedies. Remedies aren’t
rare because they are ineffective; they are rare because we haven’t enough experience to know how to
prescribe them. Our difficulty is that we don’t have
a good sense of the archetype or the main pathology of the lesser known remedies. And because we
don’t know them we are nervous to prescribe them
and stick to what we know.
It is very interesting to me that Massimo finds Aqua
marina as, or even more, common and useful than
Natrum muriaticum and that Rajan uses Bacillinum
more than Tuberculinum.
Remedies can be grouped as a way to prescribe more
accurately. The most famous homeopathic grouping
is the miasms but hundreds of other useful groups
are possible.
If it is true as I assert that the odds are that the most
similar remedy to your patient is a rare, poorly understood remedy how could we find it?
Here we can be helped by groupings of remedies.
The snakes all seem to… . If I see that Lachesis is first
in the analysis I think, “Ah, the remedy may well be a
snake” as I know that no matter what snake is needed Lachesis is so well known and shares so many symptoms with other snakes that it is likely to come first.
The spiders are generally similar to Latrodectus and
Tarentula with nervous system complaints, restlessness, industriousness, deep chilliness, amelioration
from smoking, a need for their troubles to be noticed,
etc. Remedies made from seeds tend to be held in,
30
suppressed or frustrated either by choice or by external conditions and to suddenly burst out (think of
Anac., Nux-v., Staph., Ign., etc.). The sunflowers that
grow in waste places where they receive much abuse
are very effective in injuries (Arn., Mill., Cham., Bellp., etc.).
A group can be based on any shared characteristics.
The usefulness of the group is dependent on the importance and precision of these characteristics.
I believe deeply that the next important advances in
prescribing will come through understanding and utilizing families.
Let’s back up a bit.
I believe that the point isn’t to find the only single,
perfect remedy that is known to have the patient’s
complaints; it is to find the most similar remedy out
of many similar remedies.
When we turn to the repertory for help we find that
we are encouraged to prescribe a polychrest. This is
not surprising. The polycrests are terribly, grotesquely over-represented in the repertory (and materia
medica). For example, in Kent Sulphur is found in
8,789 rubrics, and Silica 5,470, while Hecla lava is
found in only 21. However Hecla is a very useful remedy, similar to Sulphur and Silica. And since grades
in the repertory are based on how many provers had
the symptom rather than the closeness of the symptom to the picture of the remedy, the polychrests are
also far more likely to be found in bold or italics (Sulphur has 1289 bolds, Silica 847 and Hecla 0).
This leads to very misleading analyses. For example,
imagine that the ultimate, perfect Hecla lava case
comes in your door. If you managed to repertorize
every one of Hecla’s twenty one rubrics and did an
analysis you’d find that Silica, with some italics, got
more points than Hecla! If you were less accurate and
included only half of Hecla’s rubrics in the case, you’d
see Hecla disappearing down the list of remedies.
23.07.2009
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M Y P HILOSOPHY
Overview of Programs
or 23 years we at Kent Homeopathic Associates (KHA) have been creating homeopathic
software just north of San Francisco.
F
MacRepertory is our repertorization tool which
makes it easy to quickly locate and select rubrics,
analyze a case, check the materia medica and feel
confident about your prescription.
ReferenceWorks approaches case analysis from the
opposite direction; you use the
materia medica
directly to find the
closest remedy for
your case (avoiding the incompleteness and
translation inherent in the repertory).
tion, use a mouse, graph results, have a color interface, accommodate custom analyses, include
miasms, analyze by families, analyze directly from
the materia medica, display rubrics central to any
family, run on both PCs and Macs, promote mindmapping techniques for analysis, group rubrics visually, include videos, connect homeopaths
through the internet, and offer multiple repertories, philosophy,
new provings and
materia medica,
etc...
Relationships
All of the sciences
have faced the
difficulty of discriminating between large numbers of objects;
What makes our
they solved it by
programs special?
Aspect of the elements, compounds and metals
grouping similar
Innovation, flexiaccording to M. Mangialavori
items into catebility and beauty.
gories (think of
botany, allopathy, zoology, psychology). HahneInnovation
mann led the way by suggesting the separation of
Our programs reflect that the owners, managers,
the 84 remedies he knew into three miasms. Revisionaries, designers, trainers and sales staff at
alizing when we need a syphilitic remedy, for exKHA are a community of homeopaths; the proample, has been very useful for homeopaths for
grams work as you’d hope they would, do what
200 years. Now that we have so many more remeyou need them to do and “think” in a way that supdies, we could use finer groupings.
ports your deepest homeopathic insights.
KHA’s programs have always been at the leading
edge of homeopathic theory, practice and technology. They were the first to allow rubric selec-
Luckily, brilliant homeopaths have devised new solutions. Our programs make use of over 3000
homeopathic “families” to help you to find the
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Ü BER M Y P HILOSOPHY
simillimum more accurately. These include the miasms of Sankaran, Bentley and Bjørndal, Vega’s
Boxes, Mangialavori’s families, Morrison’s organic chemicals, Scholten’s minerals, König’s groups,
Welte’s colors, taxonomy and many many others.
hints to the families are displayed on the screen.
Much of this information is available nowhere else.
Our maps also show how well each family did in
the current analysis. A click shows the analysis of
the individual remedies and another click gives inUsing groups to help you narrow down your reformation about the characteristics of the family.
sults is one of the most powerful techniques to imIn this way you can get hints that the case may need
prove your prescribing. We believe
a psoric remedy, and perhaps a venYou
it is so important that we have
om, and focus in on those
are
studying
Hahnebuilt the families into
remedies. Click, click,
mann’s “Chronic Diseases”? Well
every aspect of our
click.
done! Just work thoroughly through one
programs since
For example, you
remedy every four weeks, that’s more interest1992. With a sinclick on one of
ing than the most thrilling novel. In the past,
gle click you
Rajan’s many
when there was nothing but Hahnemann’s works,
can limit the
maps to disyou really learned how to cure. Since we decided to
analysis to the
play the plant
rest in the armchair of the repertories, we forgot it and
sycotic remefamilies he’s
the younger ones, who only use them and neither posdies, see only
discussed and
sess nor know the sources at all, will never achieve
the books that
great cures ... I maintain: The repertories are a curse
you see their
have informafor the advance of homeopathy, they don’t allow
characteristics,
tion about spiany great cures to be accomplished any more.
in this case the
ders, discover the
Karl Julius Aegidi, Homöopathische
color shows that
common characterfliegende Blätter, Briefe aus dem
sunflowers did very
istics of the sunflowers
Nachlaß, in ZBV 1911, S. 80f.
well in this analysis, with
(arnica, bellis, chamomilla,
another click you focus on the
hypericum, etc), analyze by famsycotic sunflower remedies and how
ilies (instead of remedies), compare the
well each did in the rubrics. And you verify your
milks, etc.
theory by reading what Massimo and Rajan wrote
Of course families are most useful when you unabout general sunflower remedies.
derstand them so we’ve created over 150 family
Flexibility
“maps” that make the characteristics and relaOur programs have been designed from the point
tionships clear. For many people it is easier to learn
of view that no one knows the absolute Truth and
taxonomy from our maps than textbooks. For exhomeopathy is a work in process. We want you to
ample, you can see that the Papveraceae (Op) are
adapt them; to do your best work you need to be
to the Ranunculaceae (Acon, Puls, Hell) are very
able to make your program work the way you do.
close to one another botanically. Homeopathic
32
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M Y P HILOSOPHY
You can make additions to the repertory by simply pasting. You can easily add your own notes,
cases and information from seminars, even whole
books.
deep, subtle and flexible. We consider them to be
among the most beautiful of any kind of software
- and you get more out of programs that are attractive, fun to use and easy to learn.
You can change the backgrounds of the windows,
the images used for the sections, names of the clipboards, fonts, etc. The repertory can be displayed
with one or two columns, grades in different colors, and with remedies, authors, sub-rubrics,
cross-references showing or not. You set your default repertories
and materia medica, graphs, limits.
We know that when you see the big picture while
staying true to the uniqueness of each patient you
do your best work. Our programs are are designed
so you don’t have to think about them; you can focus on your prescription.
The interface is
very clean, spare
and calm. The
programs are
consistent within
You can create
themselves (you
your own families
only have to learn
and your own
one concept to
graphs. It is a
use many differsimple matter to
ent features) and
tailor your probetween one angrams to a tradiother (they are
tional approach
virtually identical
or adapt them to Relationships of the plant families according to Sankaran in how they look
support the way
and work) so they
Massimo and Rajan see the world.
are very easy to learn and become skilled at. Our
goal is that you’ll never have to read the manual.
You can give each book and author a value for the
analysis. Our strategy builder allows to design
We offer two versions of our programs: Profesanalysis strategies that work exactly as you want
sional and Classic. The difference is that the Prothem to (and it is transparent how all the stratefessional versions include family analysis and cusgies are designed so you could base yours on Mastomization options. Except for this when you pursimo’s expert strategy, for example).
chase any of our programs you know that you have
all of the features that we sell; we don’t seduce you
Beautiful Elegance
with low prices and then tack on added costs.
We are very proud of our programs. Designed by
We update our programs over the internet and onclassical homeopaths and graphic artists, they feel
ly infrequently charge for improvements; for exfamiliar and simple, while remaining powerful,
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M Y P HILOSOPHY
ample, we have been improvig the programs for
over two years without charging our customers.
When bug fixes
are needed for
the programs or
books they automatically download from the internet.
As you can see,
we are very proud
of our programs.
They are elegant,
visionary, powerful and easy to
use; we believe they are the best in the world. But
don’t take our word for it; we invite you to ask any
of the world’s
greatest homeopaths, most
chose our programs and many
of whom feel so
passionately that
they also serve on
our design team.
(Massimo, Rajan,
Jayesh, Lou Klein,
Ve g a , A n d r e
Saine, Anne
Color chart of the remedies
Schadde, etc)
David Kent Warkentin
710 Mission Avenue
San Rafael, CA 94901 USA
1-415-457-0678
[email protected]
www.kenthomeopathic.com
34
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R EPERTORY
BY
DR.
MED .
IN
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P RACTICE
K LAUS H OLZAPFEL
“Repertory” means “index, register, reference text”,
but also “place to find something, inventory or collection”. Just think of the French “le répertoire”.
To the homeopath a repertory is an index which
lists symptoms obtained from provings of remedies in a certain order, together with the remedies
which caused the corresponding signs. Added to
this are the ab usu in
morbus symptoms, only
observed during a cure at
the sickbed.
Ideally a repertory would
be a Materia medica
turned upside down. Up
to now this never has
been achieved, because
there is no complete
repertory.
- An arrangement according to elements of symptoms (e.g. localization, sensation, modality) (e.g.
Bönninghausen’s “Therapeutisches Taschenbuch
für homöopathische Ärzte”).
Finally a repertory has to summarize similar statements as for example “stinging as from something
pointed” and “stitches as with a knife” under their
common term “stinging”. Complex symptoms have to be simplified in order to keep
the size within bounds.
There are repertories
that contain all body
regions, including the
autonomous nervous
system and the mental
symptoms, e.g. Bönninghausen’s “SystemIn addition to the reatisch-Alphabetisches
quirement that ist should
Repertorium” or Kent’s
be complete, a repertoRepertory, as well as
ry also has to be clearly
repertories that have
arranged, so that a pracbeen composed for
titioner can find quickly
A page from Hahnemann’s “Symptomencertain indications, e.g.
what he is looking for.
lexikon”, ca. 1817.
the repertorial part in
Copyright owner: Institut für Geschichte der Medizin of the
Essentially there are
Robert Bosch Stiftung, Stuttgart, Germany.
Bönninghausen’s
three possibilities to
monographs on interachieve this:
mittent fevers and on whooping cough or
Berridge’s “Complete Repertory to the Materia
- An arrangement according solely to alphabetical
Medica of Eyes”.
criteria (e.g. Boger’s “General Analysis”, Phatak’s
“Concise Repertory of Homoeopathic Medicines”).
- An arrangement according to anatomical regions
(e.g. Kent’s “Repertory of the Homoeopathic Materia Medica” or Murphy’s “Homoeopathic Medical Repertory”).
The first repertory in the history of homeopathy
was compiled by Samuel Hahnemann: the second
part of his “Fragmenta de viribus medicamentorum positivis in sano corpore humano observatis”,
published in 1805 in Latin. This work still con-
35
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R EPERTORY
tained complete symptoms and was of reasonable
size because at this time not many remedies had
been proved. Later on, with the help of some collaborators, Hahnemann compiled a so-called
“Symptomenlexikon” [symptom register], that had
set itself the goal to file every keyword of a symptom in alphabetical order including mentioning the
complete symptom of the proving, whether the keyword was a localization, a sensation, a modality
or a concomitant symptom. This work that today
exists at the Institut für Geschichte der Medizin [Institute for the History of Medicine] of the RobertBosch-Stiftung in Stuttgart, Germany, consists mainly in strips of paper which are glued onto the pages
of a book, where usually one such strip equals one
symptom.
This work in four oversized volumes has never
been completed, probably due to the enormous
amount of time it would have taken. Especially the
modalities are greatly incomplete. The first practical repertory finally was compiled by Clemens
Maria von Bönninghausen in 1832: the “Systematisch-Alphabetisches Repertorium der Antpsorischen Arzneien” (cf. the article about Bönninghausen’s Therapeutic Pocketbook).
As can be seen in Hahnemann’s “Krankenjournalen” [case reports] from the years 1836-1842
(e.g. DF2 and DF5) Hahnemann often used the two
volumes of the “Systematisch-Alphabetisches
Repertorium” to find the remedy. (In his case reports, within the anamnesis he often noted down
side by side two alphabetical lists of remedies, the
antipsoric and the non-antipsoric remedies
[from the two repertories], while at the same time
references to his (incomplete) symptom register
are to be found only seldom.) Thus Hahnemann
proved that he appreciated the practicability of
36
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P RACTICE
Bönninghausen’s early repertories. But it has to be
noted that he did not “repertorize” (this verb only exists in homeopathy!), he wrote down the list
of remedies more as a memory aid.
While the two volumes of the “Systematisch-Alphabetisches Repertorium” were hardly used later on, Bönninghausen’s Therapeutic Pocketbook
found extensive circulation in North America. Even
James Tyler Kent (1849-1916) appreciated it and
used most of it for his chapters “sleep”, “chill”,
“fever”, “perspiration”, “skin”, and “generalities”,
but not without massive modifications. The publication of his “Repertory of the Homoeopathic Materia Medica” in 1897 was an important step for
practical homeopathic work. Now there was a
repertory that claimed to be as complete as possible. Kent provided information how to use this
work. The time of repertorization could begin.
That there still were methodical flaws as well as
substantial gaps was demonstrated by the work of
Cyrus Maxwell Boger (1861-1935), who initially
began to translate Bönninghausen’s repertories into English (“Boenninghausen’s Characteristics and
Repertory”, 1905, a German edition is in preparation). Later on he compiled his own repertories,
taking as a point of departure Bönninghausen’s
term “genius” (cf. the article about Bönninghausen’s Therapeutic Pocketbook): “General
Analysis” (1924) and “Synoptic Key of the Materia Medica” (1915). These are characterized by
emphasizing the so-called “generals”, i.e. the general symptoms. In contrast to Kent’s repertory, the
generals are at the beginning and make up more
than a third of the repertory, while in Kent they only amount to about a sixth. But in the thirties even
Boger published additions to Kent’s repertory (cf.
the article by Norbert Winter).
23.07.2009
R EPERTORY
As a supplement to the “General Analysis” he published a punch card repertory, which had a certain circulation and has nowadays been published
again in Germany (“C.M. Boger’s General Analysis”, published by Bernd von der Lieth 2001). After his death, Boger’s approach to homeopathy was
cultivated mainly in India by homeopaths like M.I.
IN
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P RACTICE
It was Georg von Keller who initiated the renaissance of the “Therapeutic Pocketbook” with his
articles in the journal “Zeitschrift für Klassische
Homöopathie” [journal of classical homeopathy]
from 1962 on. In the nineties Klaus Henning Gypser
took up these ideas which lead to a revised edition in 2000. The German edition was compiled
Two pages from an interleaved copy of the second volume of Hahnemann’s “Fragmenta de
viribus medicamentorum”, 1805.
Copyright owner: Institut für Geschichte der Medizin of the Robert Bosch Stiftung, Stuttgart, Germany.
Dhawale, S.R. Phatak and Pichia Sankaran. In 1962
Phatak published his “Concise Repertory of Homoeopathic Medicines”, that was, similarly to
Boger’s “General Analysis”, a strictly alphabetically
arranged repertory without regard for anatomical
standards. Based upon it Sankaran compiled his
“Pocket Repertory”, also available as “Card-Index”.
by Gypser’s workgroup, the English version by
George Dimitriadis et al. in Australia.
Regarding the augmented repertories based on
Kent see the article by Reinhard Rosé.
To summarize: today there are three different ways
to find the remedy which are reflected in the corresponding repertories. The approches of Bönninghausen, Boger and Kent.
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R EPERTORY
Our experience shows that these three ways can
also be applied together with profit in daily practice. But this does not mean to mix the methods
and finally to open just one repertory, as if every
entry of a remedy had the same meaning, but to
use separately each of the repertories mentioned
IN
Seite 38
P RACTICE
to analyze different aspects of the concrete case.
For this purpose the author prepared his own
punch cards, which contain entries from Bönninghausen, as well as from Boger and Phatak, but
that are clearly marked as such and therefore still
can be distinguished.
Dr. med. Klaus Holzapfel
Alte Weinsteige 40
D-70180 Stuttgart
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Seite 39
V ITALQUEST – S ANKARAN ’ S S YSTEM
AS C OMPUTER P ROGRAMM
BY
D R . W ILLIBALD N EUHOLD
V
italQuest (VQ) is a computer program to analyze the anamnesis of a patient in a way that
corresponds to the thoughts and work of Dr. Rajan Sankaran.
The idea was to design a program that makes it
possible to apply the technique of anamnesis with
the help of the computer.
Thus VQ differs from programs for repertorization
only.
The focus lies on the possibility to work with a given anamnesis.
The anamnesis may be
entered step by step or it
may be copied as finished
text document into the
entry field. But you may
as well work with just a
few important words.
you find out whether or not the word has been used
in the context of an animal, plant or mineral dynamics. Thus the analysis is more precise.
Computer aided work has the advantage that the
program selects neutrally words you might otherwise have failed to notice or have associated with
a different substance, it also forestalls missing to
note or to see other possibilities and correlations.
In this way both the spectrum of possibilities and
the precision improve.
Finally the result can be
displayed in different
ways. For example as bar
graph or pie chart. When
you click on the bar, it
leads from the natural
kingdom to the subgroup
and finally to the concrete remedy, at the same
time it always displays the
probability in per cent.
The program filters
words from the text that
are striking or maybe relRajan Sankaran
The second main focus
evant for finding the
of the program is the inremedy. Those words are highlighted in the text.
tegrated Materia Medica, which is also arranged
These words are then assigned to the different remedy kingdoms according to their frequency and peculiarity. Different ways to evaluate and to give
weight to the words increase the accuracy of the
results. Every word that can be associated with a
remedy kingdom or a subgroup within that kingdom is examined in regard to its consistency within the context of the patient. If for example the patient uses the word “to crush”, the program helps
according to Sankaran’s way of thinking. You find
information from all remedy kingdoms. These take
into consideration general aspects of the substance
in question, give information about the way the patient expresses himself, the sensations, essential aspects of the remedies, the key words of a substance,
provings and much more.
This new kind of Materia Medica has the advantage that many aspects of a remedy are summa-
39
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Seite 40
V ITALQUEST – S ANKARAN ’ S S YSTEM
AS
C OMPUTER P ROGRAMM
rized in a compact way and that all the information always is displayed according to the same
scheme.
It is also user-friendly. A simple bar of symbols
leads from one kingdom to the next, allows opening books, starting searches or reading example
cases. The navigation inside the windows is also
easy. A navigation bar at the left border of the window allows opening chapters.
scription of the program and an explanation how
the software works.
The program is available in two versions: VitalQuest
Basic and VitalQuest Plus. As far as the parts on
analysis and Materia Medica are concerned, they
are completely identical. The Plus version additionally contains all of Rajan Sankaran’s books.
The program is continuously updated with new files
which can easily be obtained via internet.
General information about Sankaran’s philosophy
and the miasmas is also included, as well as a deDr. Willibald Neuhold
E-Mail: [email protected]
or [email protected]
I MPRINT
Editor:
© Design:
Pictures:
Gudjons-Apotheke, Wankelstrasse 1, D-86391 Stadtbergen
Tel.: +49 821 4441000 • Fax: +49 821 4441001
e-mail: [email protected] • Internet: www.gudjons-apotheke.de
Christian Korn, Feuerbachstrasse 6a, D-84034 Landshut • www.apanoua.de
Provided by the authors.
Vol. 10 / Nr. 3 – 11/2008
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00. G_Akt 01_2008_Endversion

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