Utility of homoeopathic repertories in the management of acute diseases

Utility of homoeopathic repertories in management of acute diseases

Dr Bhavyasree B

• In our clinical practice we have to deal with both acute and chronic diseases
• Among this acute diseases are more challenging to each homoeopath because here the prescription should be most accurate to relieve the acute sufferings of patient, otherwise the case become more worse ,patient suffers much and may leave the physician
• Acute diseases are well represented in our repertories
• We can construct an acute totality with repertories to reach similimum.
• Modern repertories and computer repertories have made our task more easy

ACUTE DISEASES

 Aph 72

• Acute diseases are rapid morbid processes of the abnormally deranged vital force, which have a tendency to finish their course, more or less quickly, but always in a moderate time.
• They lead either to recovery or death.
• They are produced by an exciting cause or acute miasm.

Classification of acute disease- aphorism 73

1. Individual acute disease- Individual acute disease is that which attacks a single human being

2. sporadic acute disease – is that which attacks several persons at the same time here and there, sporadically

3. epidemic acute disease- attacks many persons with very similar suffering from the same cause.

CASE TAKING IN ACUTE DISEASE
According to § 99, it is very easy to take the case in acute diseases because

• All the phenomena and the deviation from the state of health that has been recently lost are still in the memory of the patient and relatives.
• The physician certainly requires to know everything, but has much less to inquire into.
• Presenting complaints are very prominent and impress our sense quickly.
• So it requires only few questioning because almost everything is self evident.
• Any known causative factor for the explosion of latent psora is to be ascertained.

ACUTE TOTALITY

It is the totality of the characteristic symptoms manifested during an acute disease

It has two components

a) Sector totality

b)Fixed general totality

Sector totality / Presenting complaints 

 Symptoms with location, sensations, modalities including causation & concomitants

Fixed general totality/The general features

Changes on the physical plane – appetite, thirst, sleep, thermal reaction, respiration, bowel movements etc

Changes on the mental plane – ie, mental state – irritability, fear, restlessness etc

Sector totality is fast changing in an acute disease so one should rely more on general symptom which are comparatively fixed or slow in changing

EPIDEMIC DISEASES-TOTALITY

• But in case of epidemic diseases there is similarities in the  presentation of cases
• By a close observation of several cases of every such collective disease we get the totality of its signs and symptoms  of  current  epidemic
• This  leads  to  selection  of  a  suitable  homoeopathic  remedy  for  epidemic – genus  epidemicus

ACUTE EXACERBATIONS OF CHRONIC DISEASES

In cases of acute exacerbations of chronic diseases, story is different, either we need to manage the case with constitutional medicine at first instance, or we should go up with managing presenting problem with an acute remedy and later followed by a constitutional or inter current remedy

USE OF REPERTORY IN ACUTE DISEASE

• It’s the habit of many of us to prescribe on one or two prominent or keynote symptoms in acute diseases.
• But it’s more effective if we could consider a good acute totality & repertorisation done on it to prescribe effectively.
• Our user friendly repertories are either followed anatomical schema or alphabetical schema for the convenience of easy reference.
• Clinical repertories followed a region wise or clinical condition wise preparation which helps to confine only with our needs
• To use them effectively we should have a good knowledge on its basic construction & adaptation
• Majority of the acute clinical conditions we come across are well represented in our repertories with very useful sub-rubrics & a good number of medicines with them.
• Our modern repertories are putting their best efforts to represent them more & more ‘practically applicable’ one.
• Advent of computer software programmes lessens our tasks much easier too.

CONSTRUCTION OF ACUTE TOTALITY WITH REPERTORIES

• SECTOR TOTALITY
• FIXED GENERAL TOTALITY

CONSTRUCTION OF SECTOR TOTALITY WITH REPERTORY

1.LOCATION

2.SENSATION

3.MODALITY

4.CONCOMITTANT

1.LOCATION

• Repertories prepared on the basis of anatomical schema like Kent, BBCR,     Synthesis etc & prepared on alphabetical idea like Murphy& Phathak makes our task easy
• Regional repertories helps to confine to them

Eg -Berridge’s eyes, Morgan’s urinary organs etc

• By clinical examination & investigations we can confirm the exact location too
• And successful prescriptions can be made alone by prescribing on them

KENT’S REPERTORY

• ABDOMEN – INFLAMMATION (Peritonitis,Enteritis,etc.) – appendicitis

 Bell. BRY. cadm-s. Calc-s. chel. Chin. Cocc. con. Crot-c. dulc. Echi. graph.   Hep. Lach. Lyc. Merc. MERC-C. Nit-ac. PHOS. Plb. SIL. ter.

• ABDOMEN – INFLAMMATION (Peritonitis,Enteritis,etc.) – Liver

ACON. anan. apis ARS. ars-i. BELL. Bry. Calc. Camph. Card-m. Cham. CHEL. Chin. cocc. cupr. Hep. Hippoz. ign. iod. Kali-c. kali-p. Lach. LYC. Mag-m. mang. Merc. nat-act. nat-c. Nat-m. NAT-S. Nit-ac. NUX-V. Phos. phyt. Podo. Psor. Ptel. puls. sec. staph. tab.

ABDOMEN – INFLAMMATION (Peritonitis,Enteritis,etc.) – Pancreas-

 Con. Iod. Iris SPONG.

SYNTHESIS 

• ABDOMEN – INFLAMMATION – Appendix

abrot. ammc. ARN. ARS. bapt. Bell. bell-p. BRY. cadm-s. calc-ar. calc-caust. Calc-s. carb-v. chel. Chin. Cocc. colch. COLOC. con. Crot-c. crot-h. dios. dulc. Echi. gins. graph. Hep. Iris-t. lac-d. Lach. lat-m. Lyc. Merc. MERC-C. mur-ac. nat-s. Nit-ac. Nux-v. Ph-ac. PHOS. Plb. plb-xyz. puls. pyrog. rham-cath. rham-f. rhus-r. rhus-t. sabal scroph-xyz. SEP. SIL. SULPH. ter. THUJ. tub. tub-d.

• ABDOMEN – PAIN – Liver – colic; gallstone

ars. atro. atro-s. bamb-a. Bapt. BELL. BERB. Bry. cal-bil. Calc. CARD-M. Cham. Chel. CHIN. Chion. Chlf. Chlol. colch. Coloc. cupr. dig. Dios. Fab. gels. hep. Hydr. Ip. Iris kali-ar. Kali-bi. Kali-c. Lach. lat-m. laur. Lept. Lith-c. LYC. mag-bcit. Mag-m. Mag-s. mand. mang. menth. merc. Merc-d. morph-act. NAT-S. Nux-v. op. ozone podo. puls. rhus-t. ric. Sep. sil. staph. sulph. tab. ter. trios. VERAT.

MURPHY’S REPERTORY

• Liver – ABSCESS, liver

ars. Bell. bol-la. bry. bufo card-m. chin. chinin-ar. Crot-h. fl-ac. HEP. Kali-c. Lach. laur. Lyc. Med. MERC. MERC-C. Nux-v. phos. puls. raph. rhus-t. ruta sep. SIL. Ther. vip.

• Heart – ANGINA, pectoris

ACON. AM-C. ARG-N .ARN. ARS .AUR .AUR-M. APIS. CACT. CHININ-AR.CRAT. LAT-M. NAJA .OX-AC .PHOS. RHUS-T. SEC. SPIG. SPONG. Aml-ns. Chinin-s .Carb-v. Cimic. Cupr-act. Cupr-ar. Dig. Dios Kali-c. . Kalm . Lach. LaurTab. Tarent Ther.  

2.SENSATIONS

• Different sensations like pain, numbness are well represented in our repertories under different chapters with lot of sub rubrics.
• We need to get exact sensation on which patient suffers & should go in particular rather going too general.
• IN KENT & SYNTHESIS – These sensations follows classical side, time, modality, extension pattern which helps to narrow them according to the case.

KENT

• EYE – PAIN – burning,smarting,biting – canthi – inner – morning  

            calc-s. NUX-V.

• TEETH – PAIN, – tearing – night

          Ars. Calc. calc-p. carb-an. mag-c. Merc. nat-c. nat-m. nicc. nux-m. sep. sil.

SYNTHESIS

• HEAD – PAIN – Forehead – forenoon – drawing pain

            Kali-c. mag-c. sulph. thuj. vanil.

• BACK – PAIN – Coccyx – pressing pain  acon. agar. aloe ambr. ang. apis berb. calc. calc-p. cann-i. Cann-s. Carb-an. Carb-v. chin. colch. coloc. hep. hura iod. kali-bi. lith-c. meny. merc. mosch. nat-m. nat-sil. ol-an. ph-ac. phos. puls. ruta Sep. spong. symph. tell. thuj. valer. vanil. zinc.

IN MURPHY – they too arranged alphabetically

IN BBCR– well represented along with separate sections for them

BBCR

SENSATIONS AND COMPLAINTS IN GENERAL – Burning – internal parts; in
ACON. ARN. ARS. BELL .BRY. CALC.CANTH. CARB-V. CAUST. . CHEL. CHIN.CIC. CUPR. . DULC. EUPHGRAPH. IRISLACH. LAURLYC. MERC. MEZ .NAT-C. NUX-V .PH-AC. RAN-B. PHOS. RHUS-T.SABAD SEC. SARS . SEP. SIL. SULPH. STANN. VERAT

MURPHY

• Feet – ACHING, pain, feet – aching, soles – walking, while

kali-c. Rhus-t. viol-t.

• Throat – BURNING, pain – night

            BAR-C. carb-an. mur-ac. nux-v.

3.MODALITIES

• Well represented in all repertories
• Causative modality or aetiology alone can be a prescribing tool.
• They are very important in acute diseases because if the cause is removed the effect goes off by them 

Patient with cold after getting wet in rain

Kent– Nose -coryza, wet, after getting- Sepia.

Murphy– Nose – CORYZA, general – wet, after getting- Sep

Synthesis

NOSE – CORYZA – wet, after getting

2 mark-  Puls. Sep

BBCR– CORYZA – Aggravation – wet getting –PULS, Ant.c, Sep

Sepia gives good results when prescribed

Pain in ankle from a false step

Kent– Extremities- Pain, Ankle, step from a false– Ledum

Murphy– Ankles – PAIN, ankles – step, from a false -2 mark –Ledum

Similarly Ledum gives best results here

 Aggravation and amelioration

• Both physical & mental, should consider
• Time modality- hour, day, night, midnight etc, Periodicity, Seasons, Moon phases
• Temperature & weather – chilly or warm blooded in present illness; Dry, cold, wet or hot weather
• Thunder storm – before, during, after;
• Wind, open air, warm room, warmth of bed, covering & uncovering etc
• Bathing, local applications
• Rest or motion
• Positions – standing, sitting, stooping, lying, leaning, unusual positions
• External stimuli – touch, pressure, rubbing, light, noise etc
• Food & drinks – eating & drinking in general
• Sleep – in general, before, during, after, first sleep, waking etc
• Menses- before, during, after;
• sweat & other discharges; Coition, masturbation etc

SYNTHESIS

COUGH – DAYTIME – only

Am-c. Arg-met. brom. bry. Calc. chin. cic. Cocc. dulc. EUPHR. Ferr. graph. hep. kali-bi. kali-n. Lach. laur. lyc. Mang. merc. nat-m. nit-ac. nux-m. Phos. Rumx. sep. sin-n. stann. Staph. thuj. viol-o.

 In BBCR

• Very useful construction to get them, as many of the chapters provides separate sections for them.
• a separate chapter as ‘agg. & amel. in general’.
• These rubrics from BBCR, are very valuable in clinical practice to handle even a critical acute condition & conditions of acute exacerbations of chronic conditions

RESPIRATION – Amelioration – sitting – upright, when – and bent forward, with      Acon. Aur. bufo LACH. spong.

BACK – Aggravation – lying – on back   aloe Bry. Cimic. dulc. euph. Ign. kali-n. lyc. nat-m. puls. Rhus-t. stront-c. zinc.

4.CONCOMITTANTS

• Often very valuable alone & represented almost well in our repertories
• As they present mostly as a separate entity, we could consider them as a separate rubric in our reportorial totality if they are not available as exactly we want
• BBCR is useful here, provides separate section for them under many chapters
• Most of the concomitant sub sections are well explained and arranged in alphabetical order
• Chapter on fever is extremely rich in concomitants in relation to chill , heat and sweat under different sub heading
• In Kent, Synthesis & Murphy we need to correlate them under appropriate chapters, and also under chapter like Generalities/Generals.

Eg- faintness, numbness, weakness etc 

BBCR

• NAUSEA AND VOMITING – Concomitants – headache

ant-t. asar. chinin-s. cic. kali-bi. kreos. merc. mez. NUX-V. puls. ran-b. SANG. sep. sil. tarax.

• HEAT AND FEVER IN GENERAL – Concomitants – mind – delirium – loquacious

bell. cupr. Lach. rhus-t. STRAM. Verat.

KENT

STOMACH – APPETITE, – increased (hunger in general) – fever, – during

  Chin. Cina cur. eup-pur. hell. PHOS.

RECTUM – FLATUS – diarrhoea,during

Agar. ALOE am-m. Arg-n. asaf. bov. Bry. Calc-p. CARB-V. Chin. Colch. Coloc. cub. cupr-n. Dios. Kali-c. Lach. Lyc. mag-m. Manc. Mur-ac. nat-p. NAT-S. Nicc. nit-ac. nux-v. OLND. Phos. plan. plat. sabin. sang. sars. sep. sil. squil. tab. zing

SYNTHESIS

• EYE – LACHRYMATION – fever,during

acon. apis bell. calc. cham. eup-per. ign. lyc. petr. Puls. spig. spong. sulph.

• EXTREMITIES – PAIN – Hip – coughing,on

arg-met. bell. CAUST. rhus-t. sulph. Valer.

MURPHY

• Eyes – LACHRYMATION,  general – cough, with

acon. Agar. aloe arn. brom. bry. calc. carb-ac. carb-v. cench. chel. choc. cina cycl. Eup-per. euph. EUPHR. Graph. hep. hydrog. ip. kali-c. kali-perm. kreos. merc. NAT-M. op. Phyt. PULS. rhus-t. Sabad. sil. SQUIL. staph. sulph.

• Nose – CORYZA, general – fever, with

Acon. all-c. anac. Ars. bar-m. Bell. BRY. chlor. gels. graph. Hep. iod. jab. lach. MERC. nat-c. nit-ac. Seneg. sep. spig. Tarent.

CONSTRUCTION OF FIXED GENERAL TOTALITY WITH REPERTORIES

• As we are giving importance for patient’s suffering in acute diseases we should not get stuck with them in prescribing.
• We should have a look on general changes observed on patient’s physical or mental plane, they should consider with priority in our repertorial totality
• Changes on the physical plane  – appetite, thirst, sleep, thermal reaction, respiration, bowel movements etc
• Changes on the mental plane – ie, mental state -irritability, confusion, fear, restlessness

1.CHANGES IN PHYSICAL PLANE

Appetite & thirst

In Kent’s repertory

• Appetite & thirst – well represented in ‘stomach’ chapter
• We can consider general sub-rubrics like Appetite – diminished/easy satiety/ increased/insatiable/ravenous/relish without/wanting etc in our totality
• Similarly Thirst – burning/extreme/large quantities for/small quantities  for/ unquenchable/violent
• Thirst-vomiting, before
• Thirstless – heat, during etc

STOMACH – APPETITE, – increased (hunger in general) – headache, – with  ars. crot-h. elaps Kali-c. kali-p. lac-d. lyc. PHOS. PSOR. ptel. sang. Sep. sil. sulph. thuj.

STOMACH – APPETITE, – increased (hunger in general) – vomiting,after

cina Colch. olnd. podo. tab.

IN SYNTHESIS

Similar rubrics with more no. of sub rubrics & medicines

• STOMACH – APPETITE – increased – fever – during – agg.

          Chin. Cina cur. eup-pur. hell. PHOS. podo. staph.

• STOMACH – THIRST – headache – during

aeth. agar. cadm-s. camph. chinin-s. eug. Lac-d. MAG-M. Nat-m. plat. pulx. spong. stram. Ter. Verat. zing.

• SLEEP – SLEEPLESSNESS – cough, from

am-m. Apis bism. calad. Caps. Caust. Chin. Chlol. Daph. dig. eup-per. Gels. Hep. Hyos. irid-met. Kali-bi. Kali-cy. Kali-n. lyc. m-arct. NIT-AC. Nux-v. Ol-j. Phel. Phos. puls. Rhus-t. ruta sabad. sep. spong. Stict. Stront-c. Sulph. Syph. teucr. tritic-vg. Tub.

MURPHY

In Murphy – Under ‘food’ chapter appetite , thirst ,desire aversions are mentioned

Food – THIRSTLESS, general – fever,  during

APIS  CINA.GELS. SABAD. SEP. Aeth Alum. Ant-c. Ant-t Calc. Caps. Carb-v. Caust. Dros. Ferr. IgnLed. Ph-ac Puls Ip. Kali-c. meny. Mur-ac. Nit-ac. Samb.. Sulph. 

2.  CHANGES IN MENTAL PLANE

• Important criteria for prescription
• Mental sphere of patient varies widely with acute sufferings
• Repertories gives different mental symptoms associated with many acute disease
• Many drugs are mentioned other than usual medicines met in materia medica

In Kent

• Mind, anxiety, chill during
• Mind, anxiety, Fever, during
• Mind, delirium, hemorrhage after
• Mind, fear, death of, heart symptoms during
• Mind, irritabilty, headache during
• Mind, sensitive, chill during /heat during/perspiration during

In BBCR

Under mind chapter-in general

– Fear, incurable being

–Memory, poor, injuries head after

Under Mind chapter– sections aggravation gives good notes on mental disturbances in some acute ailments like

– Abdominal complaints with

– Gastric disturbances with

– Headache during

– Heart pains in

– Hemorrhages after

– Stomach disordered after etc

MIND – Aggravation – abdominal – pains, with

acon. alum. am-m. ant-t. ARS. aur. bell. borx. bov. bry. CARB-V. Cham. cic. coff. coloc. cupr. hep. ign. lyc. Merc. mosch. Nux-v. PHOS. plat. puls. rhus-t. sec. sep. sul-ac. sulph. VERAT.

IN SYNTHESIS & MURPHY
Better presentation more no.of rubrics & medicines

SYNTHESIS

MIND – SINGING – fever, during

bell. Op. Sars. stram. teucr. verat.

MIND – RESTLESSNESS – chill – during

acon. aeth. am-c. anac. apis Arn. ARS. asaf. bell. borx. bov. Calc. cann-s. caps. carb-v. CHAM. chin. coff. eup-per. ip. kali-ar. kreos. lach. lam. Lyc. merc. mez. nat-c. nat-m. NUX-V. petr. Ph-ac. phos. plan. plat. puls. rhus-t. ruta sabad. SEP. Sil. spig. tub. Verat.

MIND – IRRITABILITY – headache, during – SYPH.  Acet-ac. Am-c.. Anac.. Ars.. Cham. Chin. Chinin-ar.. Kreos. Lac-c. Mag-p. Mez.. Nicc. Nux-v. Phos.Sang. 

MIND – ABUSIVE – pains; with the

ars. CHAM. cor-r. nux-v.

MURPHY

Mind – RESTLESSNESS – fever, during

ARS. BAPT. PULS. RHUS-T. Acon. Apis Arn. Bar-c. Bell. Carb-v. Cham. Chinin-s. Eup-per. Ferr. Ferr-ar.. Gels.. Ip.. Lyc. Mur-ac. Op. Sulph. 

ROLE OF CLINICAL EXAMINATIONS AND REPERTORY

• Physical examinations are unavoidable in acute diseases & help to correlate the symptoms we get by case taking
• Like general appearance, examination of nail, teeth, tongue, hair, eyes, Vital signs [ pulse, blood pressure, respiratory rate] , palpable lesions, respiratory difficulty, murmurs, bruises, friction rubs, bowel sounds, neuralgic signs etc & much more
• Many of them are well represented in our repertories
• In many cases, we can rely on them for prescription 

Murphy 

Pulse – FAST, pulse, elevated, exalted
ACON. APIS ARN. ARS. AUR. ARS-I. BERB. . BRY. BELL. . COLL. CON. CROT-C. CUPR. DIG. FERR-P. GELS. GLON .IOD. MERC. NUX-V.  NAT-M.PH-AC. PHOS. . OP. PYROG. RHUS-T. . SEC. STRAM.STANN. SPIG.  SIL.. SULPH. VERAT-V. ZINC.

Pulse – SLOW, pulse

DIG. GELS. KALM. OP. SEP. STRAM.VERAT. VERAT-V. Crot-h. Cupr. Hell. Kali-br. Laur. Lob. Lup. lycpr. Lycps-v.. Manc. Mang. Morph. mosch. mur-ac. myric. Myrt-c. Naja. Nat-m. Nux-m. Podo. Sang.. Tab. Tarent

Pulse – FAST, pulse, elevated, exalted – tuberculosis, in

Ars-i. Brom. Lach. Nat-ar. samb. sep. stann.

SYNTHESIS 

• MOUTH – DISCOLORATION – Tongue – white – fever; during

Acon. Ant-c. ant-t. apis arn. ARS. bell. BRY. Cham. chin. coloc. Guare. ign. ip. lach. merc. nux-m. NUX-V. op. ph-ac. PHOS. Puls. rhus-t. ruta sabad. sep. sil. sulph. verat.

• GENERALS – CYANOSIS

CAMPH. . CARB-V. CUPR. DIG. LACH. LAUR. OP. VERAT. VERAT-V. Am-c. Ant-ar Ant-t.. Arg-n. Ars.. Con. Crot-h. Ip. Kali-chl. Lob. Naja. Rhus-t.. Samb. 

LABORATORY & OTHER INVESTIGATION

• They are another helping tool in acute prescriptions
• Usually they are helpful to a physician in effective diagnosis but thorough knowledge in correlating them with our Materia medica is a brilliant effort helps the prescription especially when symptoms are lacking

IN KENT

Urine

• Albuminous
• Alkaline
• Bloody
• Casts -blood, epithelial,granular,hyaline, etc
• Sediment -albuminous,phosphates,purulent,renal calculi,gravel etc
• Specific gravity-increased, decreased
• Sugar etc

Chest

• Abscess, lungs
• Hepatization of lungs- right, left
• Inflammation, bronchial tubes
• Inflammation, lungs- right, left
• Generals -anaemia

In BBCR

• Kidneys -calculi
• Urine -saccharine

In Synthesis

A rubric as ‘laboratory findings’ in ‘generals’ chapter with more no. of useful sub-rubrics

• GENERALS – LABORATORY findings – albumin-globulin ratio inverted beryl.

• GENERALS – LABORATORY findings – creatinine – increased

cortiso. lyc. morph. op. phos. pic-ac. ser-   ang.

• GENERALS – LABORATORY findings – electrocardiograph – P-R interval prolonged

stroph-s.

• GENERALS – LABORATORY findings – eosinophiles temporarily increased

cortico.

• GENERALS – LABORATORY findings – hemoglobin – decreased

calc-ar. ferr-p. lec. x-ray

• GENERALS – LABORATORY findings – hemoglobin – increased

cob-n. loxo-lae. vanad.

• GENERALS – LABORATORY findings – platelets – decreased

bell-p. colch. crot-h. iod. kreos. lat-m. lyc. penic. x-ray

• GENERALS – LABORATORY findings – sperm count – low

aur. carb-an. Con. Iod. med. pitu. staph. Syph. testis  tocoph. x-ray

• GENERALS – LABORATORY findings – potassium level – reduced

cortico. cortiso.

• GENERALS – LABORATORY findings – sulfhemoglobinemia – urea – decreased

allox. sulfa.

• GENERALS – LABORATORY findings – sulfhemoglobinemia – urea – increased

carc.

• GENERALS – THROMBOCYTOPENIA; idiopathic

both. cortico. cortiso. phos. sec.

• GENERALS – HYPERLIPIDEMIA

all-s. aur. calc. calc-f. Chel. chin. Chion. chol. chr-ac. colch. cortiso. ferr-i. Hydr. Lec. med. nux-v. perh-mal. Tarax. thuj. Thyreotr. Vanad. zing.

IN MURPHY
In ‘clinical’ chapter some general rubrics related to laboratory findings are mentioned

Under rubric ‘blood general’  sub-rubrics like Eosinophilia, leucocytosis,polycythemia,redblood cell,white blood cell etc

Under rubric blood vessel general subrubric like arteritis,calcaneous deposits,fatty degeneration

• Clinical – UREMIA, blood

Ail. aloe am-be. Am-c. Apis apoc. ars. asc-c. aur-m. bapt. Bell. benz-ac. berb. botul. calc. cann-i. Canth. Carb-ac. chlf. cic. COLCH. Cupr. cupr-act. cupr-ar. dig. eup-pur. gels. Glon. glycyr-g. graph. Hell. hydr-ac. Hyos. iod. jab. kali-br. Kali-s. lach. lyc. merc-n. methyl. Morph. mosch. Op. Phos. Pic-ac. pilo-m. Plb. queb. senec. seneg. ser-ang. Stram. sulfa. Ter. thlas. tub. urea urin. URT-U. Verat-v.

• Clinical – bone spurs

Arg. AUR. AUR-M. calc. CALC-F. crot-c. Dulc. Fl-ac. HECLA Kali-i. lap-a. maland. Merc-c. Mez. Nit-ac. PHOS. Puls. rhus-t. Ruta SIL. sulph.

• Clinical – herniated, disk syndrome, slipped or ruptured vertebrae

          AESC.. arn. AGAR Berb. BRY. Coloc. HYPER. kali-c. mag-p. ruta tarent. Tell. zinc.

• Clinical – hyperglycemia, high blood sugar

    ARG-N. Chin. Cina  Insulin. iod. LYC. olnd. PHOS. sac-alb. stann. verat. Zinc.

• Clinical – Blood, general – polycythemia, blood

carc. ferr. phos.

• Clinical – Blood, general – eosinophilia, blood

saroth.

CLINICAL RUBRICS/DIAGNOSTIC RUBRICS

Those are habituated or forced into making their prescription on acute clinical conditions also gets their help from our repertories as ‘clinical rubrics’

MURPHY 

• Clinical – anklosing, spondylitis

          Aesc. agar. Arg-met. caust. cimic. Con. kali-c. Kalm. Nat-m. Rhus-t. tell.

• Cancer – THYROID, cancer

cadm-i. calc-i. Carc. Iod. kali-i. Lach. lap-a. Scir. sil. Spong. THUJ.

• Cancer – CERVIX, cancer of uterine

aur. AUR-M-N. calth. Carb-an. carc. CON. hydr. hyper. iod. kreos. nux-v. plat. podo. Scir. thuj. ust.

• Liver – CIRRHOSIS, liver

CARD-M. CROT-H. HYDR. PHOS. SUL-AC..Arg-n. Ars-i. Calc-ar. Chel. Chim. Chin. chinin-ar. Cupr.Hep. Lach.Lyc. Mag-m. Mur-ac. 

• Lungs – PNEUMONIA, infection, inflammation, lungs

ACON. ARS. ARS-I. ANT-T. BRY. CARB-V. CHEL. FERR-P. HEP. KALI-C. LOB. LYC  . MERC. . PHOS. PULS. RHUS-T. SENEG. SEP. SULPH .VERAT-V. Agar. All-c. Ant-c.. Apis Arg-n. Arn. Bad. Bell. Benz-ac. Brom. Cact. cadm-met. Calc. Carb-an. Carbn-s Chin. Chlor. Con. cop. corn. crot-h. Cupr. Dig. Elaps .Ferr. Ferr-ar. Ferr-i. Gels.. Hippoz. Hyos. Iod. IpKali-bi. Kali-br. Kali-chl. Kali-i. Kali-n. Kali-p. Kali-s. Kreos. Lach. Lachn. Laur. Psor. Sang.. Sil. Squil.. Ter. u. Verat.. 

SYNTHESIS 

• GENERALS – GUILLAIN-BARRÉ SYNDROME

aconin. alum. aran-ix. calc. cimic. con. lyss. mand. meph. plb. psil.

• GENERALS – MULTIPLE SCLEROSIS

acet-ac. Agar. alum. arg-met. arg-n. ars. asar. atro. Aur. aur-m. bar-c. bar-m. bell. bufo calc. carbn-s. caust. chel. chlorpr. cocc. Con. crot-h. Cur. des-ac. diphtox. form-ac. gels. germ-met. halo. hyosin. Hyosin-hbr. kali-p. Lath. lyc. mand. nat-c. nat-m. nux-v. ox-ac. p-benzq. Phos. Phys. Pic-ac. Plb. polio psil. sel. sep. sil. staph. Stry. sulph. tarent. tetox. thala. thuj. toxo-g. wildb.

• PROSTATE GLAND – CANCER of prostate

bar-ox-suc. carc. chim. CON. Cop. crot-h. Iod. kali-cy. Lyc. naphthoq. plb. Psor. SABAL Scir. Sel. senec. Sil. staph. sulfonam. Sulph. THUJ. thymol.

• EYE – ASTIGMATISM

gels. Lil-t. onos. phys. pic-ac. Sep. sil. Tub.

ACUTE DISEASES COMPLICATED BY ALLOPATHIC DRUGS

• Here original disease symptoms may be mixed with the drug symptoms.
• Here physician can’t apprehend the complete picture of disease in its actual condition, thus a conjoint malady can be formed by the medicinal & original disease & can prescribe for it.
• Our repertories generally provides a different set of rubrics in light of after effects of allopathic & other medications

SYNTHESIS

GENERALS – HISTORY; personal – antibiotics; of use of

GENERALS – MEDICINE – allopathic – abuse of

GENERALS – MEDICINE – allopathic – oversensitive to – influenza; medicine against

MURPHY

Toxicity – DRUG, overdose

Toxicity – DRUGS, general , allopathic, drugs ,side effect from

Toxicity – DRUGS, general – overacts, without curing

Toxicity – DRUGS, general, addictions

GENUS EPIDEMICUS

• In case of an epidemic disease we can reach into a genus epidemicus by preparing a totality which has derived only after observing a number of cases
• This totality can be effectively worked out by a good repertory
• Importance of repertories can never be push aside in reaching a effective genus epidemicus & in prophylaxis in an acute epidemic disease

SECOND PRESCRIPTION

• Section like ‘Relationship of remedies’ provided with repertories are useful in selecting a second prescription in an acute disease after the first remedy is acted positively or failed

CONCLUSION
Repertories are the best tools in management of acute diseases, as they provide us a vast ocean of acute symptomatology with proper & handy construction to deal effectively with them when in need.

But the immense knowledge in all aspects of all acute diseases we come across is essential for a better outcome.

REFERENCES

1. Organon of medicine 5^th and 6^th edition.  Dr.Samual Hahnemann.
2. Essentials of Repertorisation -Dr.Shashi Kant Tiwari
3. Homoeopathic medical repertory-MURPHY
4. Synthesis repertory- Frederik  Schroyens
5. Boenninghausan’s characteristic materiamedica and repertory-Boger
6. Repertory of the homoeopathic materiamedica-Kent
7. www.homeobook.com

Dr Bhavyasree B
PGT, Organon, GHMC Calicut,Kerala