Repertory to Cyclopaedia Drug Pathogenesy by Richard Hughes

Book review by Dr Sanil Kumar

Author : Richard Hughes

Year of publishing – 1900 (This work started in 1892)

Number of remedies – 412

Gradation of remedies – Single grade

Professor Richard Hughes was the teacher to Dr. J.H. Clarke. President, British Homoeopathy Club. This repertory was first time published in Feb. 1900 with 476 pages, the most complete book for Hahnemann’s pathogenesis information.

Other books published by Richard Hughes are:

• A manual of Pharmacodynamics
• A cyclopaedia of drug pathogenesy (6 vol.4)
• The knowledge of the physician
• Principles and practice of homoeopathy. 

In introduction about its publication author wrote that the “Cyclopaedia of drug pathogenesy” was commenced in the summer of 1884 and finished in the winter of 1891. It was an endeavour to present Materia Medica of Homoeopathy – its collection of the effects of drugs on the Healthy body – in the most genuine and intelligible form. It was the result of much discussion and some tentative on both sides of the Atlantic, and it’s method of presentation was finally determined at a conference held at Deer park, Maryland, USA, on Jan. 9, 1884 between representatives of the two national societies of England & America.

So much novelty characterizes the present index that a full statement of its methods and aims seems necessary at the outset. It purports to be “A Repertory to the Cyclopaedia of Drug Pathogenesy”. Let us see what is embraced under the latter part of the title and explained what the former intends.

1. The “Cyclopaedia” in one way differs from previous collections of the Materia Medica of Homoeopathy as those of Jahr, Noack and Trinks, and Allen that it doesn’t contain the pathogenesis of Hahnemann himself. It has been fully explained however that this omission does not arise from any light regard for the symptoms list in question. It is meant because they’re being no means of improving on Hahnemann’s presentation of them they would have had to be simply transferred bodily to the latter work.

2. The material then to which the repertory is an index is to be understood as consists of –

i.  The three works of Hahnemann – Fragmenta De Viribus, Materia Medica Pura, and Chronic Disease; the second to be used in its entirety, the first and third only to the extent indicated in the foregoing remarks.

ii.  The supplementary matter collected in the “Cyclopaedia of Drug Pathogenesy”.
In preface about arrangement of the last part he wrote, the list of “Corrigenda et addenda” is some what formidable and apologies for its length, which cannot all together be explained by the numerous cross references between square brackets necessarily left blank during the course of the printing. It is mainly due to the ready opportunities of error afforded by figures.

In giving a second appendix to the introduction an outline of the schema adapted as such that the lists of sections would be liable to modification as the final revision went on. The changes necessitated have proved so many that some further guide to the order has seemed necessary; and I have thought it thus to supply such want by an alphabetical index to the headings of the sections, which will accordingly be found at the end of the volume. 

Repertory has

• Preface.
• Introduction
• Appendix – 1 – List of medicines with abbreviation and reference number
• Appendix – 2 – Ground plan of repertory  

This repertory consists of 12 chapters,

1. Nervous system: Sensation, motion, intellect, emotion, sleep, post-mortem phenomena consists of brain, spinal cord and nerves.
2. Head: General, front, sides, vertex, back, scalp.
3. Eyes: Orbits, lids, canthi, cornea, lens, muscles, retina, globes, vision.
4. Ear: Meatus, hearing.
5. Face.
6. Digestive system: Jaws, lips, teeth, gums, tongue, salivary glands, mouth, throat, stomach, abdomen.
7. Pelvic organs: Faecal-rectum, anus, defecation, stool; Urinary-kidneys, ureters, bladder, prostate, urethra, micturation, urine; Genital-maleorgans, testicles, sexual function; Female organs-mammae, menstruation, pregnancy.
8. Respiratory organs: Nose, larynx and trachea, bronchi and lungs, chest walls, pleura, diaphragm.
9. Circulatory system: Heart, pulse, circulation, temperature, vessels, blood.
10. Back and limbs: Neck, back, limbs, arms, hands, legs, feet.
11. Skin
12. Generalities.

An outline of schema is given at the starting of chapters as the second appendix and the rubrics under that. In some rubrics numbers are given as superscript. This indicates the explanation to it is given at the end of that page.

Circulatory system consists of fever, heart symptoms which usually mix up with the respiratory symptoms under chest.

Skin chapter consists of all the cutaneous disorders wherever occurring instead of scattering through the localities like face, hands, etc and sweat also.

Source of each drug is mentioned. Suppose if the drug is of Hahnemann’s then “H” is mentioned and followed by the book code that is “M.M.P”, “Ch.D” or “F.de.V” now for the proving symptom “I” stands, “II” stands for poisoning and “III” stands for experimentation on animals. Numbers are given following this and this indicates the line number as well as page number too given in some areas.

Some information as to the conditions and concomitants are given in heading or sub-headings, mainly in brackets. Some empty square brackets are mentioned for the future additions. Cross reference is given in square brackets.

The eye chapter is divided into five sections. They are orbits, lids, pupils, globes and vision. The first four sections have pain rubrics first followed by the other symptoms belonging to them.

Nervous system is divided into sensations, motion, intellection, emotion and sleep.

Important clinical rubrics in Hughe’s repertory:

Nervous system

• Sensation: Anesthesia, Hyperaesthesia,
• Motion: Tonus catalepticus, Convulsion, Spasm (Risus, Trismus, Opisthotonus), Unsteadiness (ataxia, locomotor ataxia)
• Intellection: Delirium
• Emotion: Fear (of impeding death, agarophobia)
• Sleep: Somnambulism, Sopor (coma vigil), Sleepiness (subsultus tendinum)

Head

• General: Vertigo
• Front:
• Sides:
• Vertex:
• Back:
• Scalp: Goose-skin, Hair-affections of the

Eyes

• Orbits:
• Lids: Ptosis, Stye
• Canthi: Inflammation,
• Pupils: Contraction, Dilation, Irregularity
• Cornea:
• Lens: Opacity,
• Muscles:
• Retina:
• Globes: Chemosis, Protrusion, Squinting
• Vision: Asthenopia, Blindness, Chromatopsia, Diplopia, Hemiopia, Muscae, Myopia, Photophobia, Photopsia, Presbyopia

Ears

• Auricle: Inflammation, Swelling
• Meatus: Heat, Inflammation, Itching
• Hearing: Acute, Deafness, Illusions, Tinnitus,

Face

• Discoloration, Pallor, Inflammation,

Digestive system

• Jaws: Grinding of teeth,
• Lips: Discoloration, Inflammation, Swelling, Tremor
• Teeth: Caries,
• Gums: Bleeding, Inflammation, Retraction,
• Tongue: Fissure, Articulation, Taste
• Salivary glands: Salivation
• Mouth: Gangrene, Inflammation, Fetor, Haemorrhage,
• Throat: Dysphagia, Haemorrhage, Inflammation,
• Stomach: Acidity, Dyspepsia, Heartburn, Hiccup, Inflammation, Nausea, Qualmishness, Retching, Vomiting, Waterbrash,

Abdomen: Borborygmus, Distension (ascitis), Enteritis, Flatulence

• Hypochondria:
• Umbilicus:
• Hypogastrium

Flanks:

Inguinal glands:Hernia, Swelling

Abdominal contents:

• Peritoneum: Inflammation,
• Liver: Inflammation, Bile, Jaundice
• Gall-bladder:
• Pancreas: Inflammation
• Mesentry: Inflammation
• Intestines:
• Rectum:Inflammation, Prolapsus, Tenesmus
• Anus:Congestion-haemorrhoidal, Haemorrhoids, Paresis
• Defecation:
• Stool: Diarrhoeic, Dysentric, Undigested
• Perinaeum: 

Urinary organs:

• Kidneys:Inflammation, Tenesmus
• Ureter:
• Bladder:Inflammation, Tenesmus
• Prostate:
• Urethra:Inflammation, Swelling
• Micturition:Involuntary, Retention, Strangury,
• Urine:Bloody, Saccharine 

Reproductive system:

• Male organs: Herpes, phacelus, Swelling
• Penis:                  
• Scrotum:
• Testicles:
• Sexual function:Spermatorrhea, Priapism, Chordee
• Female organs:Inflammation, Leucorrhoea, Metrorrhagia, Nymphomania
• Vulvae:
• Vagina:Leucorrhea,
• Uterus:
• Ovaries:
• Mammae:
• Catamenia:Delayed, Scanty, Suppressed, Painful,
• Pregnancy: Abortion, Sterility

Respiratory organs:

• Nose:
• External:Inflammations
• Internal:Catarrh, Coryza, Epistaxis, Inflammation,
• Smell: Anosmia, Hyperosmia, Illusory
• Larynx and trachea: Laryngismus, Cough, Voice (Aphonia)
• Bronchi and lungs: Asthma, Bronchitis, Bronchorrhoea, Catarrh, Emphysema, Haemoptysis, Oedema, Paralysis, Pneumonia
• Respiration: Dyspnea, Interrupted, Laboured, Quickened, Retarded, Short, Sighing, Suffocation (Asphyxia)
• Chest walls:
• Pleura:
• Diaphragm: 

Circulatory system

• Heart: Inflammation, Palpitation, Sounds altered, Syncope
• Pulse: Contracted, Feeble, Intermittent, Irregular, Quick, Small, Slow
• Vessels:
• Blood: Anaemia, Haemorrhage, Plethora, Scurvy
• Circulation: Blood-pressure,
• Temperature: Coldness, Fever, Heat, Shivering

 Spine and extremities

• Neck: Cervical glands
• Back:
• Limbs:
• Arms: Inflammation
• Hands: Carphology, Inflammation, Sweat
• Legs: Inflammation, stiffness, weakness
• Feet: Callosities, Inflammation,

Skin: Boils, Chapping, Chilblains, Ecchymosis, Eruptions, Erysipelas, Formication, Horripilation, Inflammation, Mottling, Nodules, Sweat, Ulceration, Hair, Nails 

Generalities: Adiposis, Cachexia, Cancer, Carbuncle, Cyanosis, Dropsy, Emphysema, Erethism, Gangrene, Hysteria, Jaundice, Peripheral neuritis, Oedema, Pthisis, Scrofula, Steatosis, Typhoid condition, Wasting, Weakness, Weariness.

 Merits

• It’s very much reliable as each remedy source is mentioned 
• Only reliable symptoms that have been scrutinized are included

Limitations

• No gradation of remedies. 

Dr. Sanil Kumar BHMS,MD(Hom)
Department of Forensic Medicine & Toxicology
Govt. Homeopathic Medical College. Calicut.10. India
Email : drsakumkumar@yahoo.co.in