Study of Rubrics from Murphy’s repertory in the management of Alopecia

Study of Rubrics from Murphy’s repertory in the management of Alopecia

Introduction
When the hair is lost entirely from a part, this is called alopecia,or baldness. Parasitic diseases or atrophy of the bulbs are the most common causes of localised baldness.¹ Alopecia areata  is a common, inflammatory nonscarring type of hair loss. Significant variations in the clinical presentation of alopecia have been observed, ranging from small, well-circumscribed patches of hair loss to a complete absence of hair on body and scalp. Patients affected by alopecia encompass all age groups, sexes, and ethnicities, and may experience mental frustration with the unpredictable nature of their disease. Clinical forms of alopecia areata includes²

• Alopecia areata focalis – hair loss occurs in patches on the scalp or on other parts of the body (e.g. face, abdomen, extremities).
• Alopecia areata totalis – the loss of all hair on the scalp (including eyebrows and eyelashes),
• Alopecia areata universalis – the loss of all or almost all body hair,
• Alopecia maligna – is a generalized long-term loss of hair, resistant to treatment,
• Ophiasis or alopecia areata marginata – snake-shaped hair loss around the circumference of the head in the temporal, occipital and frontal areas.
• Ophiasis inversus – the inverse pattern of hair loss, which expands from the central to the marginal area of the head.
• Alopecia areata diffusa or alopecia areata reticularis – diffuse or reticular hair loss where no separate bald patches can be distinguished.

Repertorial approach
Repertory is the index of Homoeopathic Materia Medica. Murphy’s repertory is the more Clinical, Practical and easy to use reference guide to the vast Homoeopathic Materia Medica. This Homoeopathic Clinical Repertory includes additions from Kent’s Repertory, Allen, Hering, Boericke, Knerr Repertories etc. This modern alphabetical Repertoty contains more than 50 rubrics for alopecia listed below along with their highest grade medicines.³

Rubrics

1. Eyes – EYEBROWS, hair, falling from- RHUS –TOX.
2. Face – HAIR, facial- mustache, falling out, of – bar.c., kali. c., plb., sel.
3. Face – HAIR, facial- whiskers, falling out, of – Calc., Graph, Kali. c., Nat. c., Nat.m., Ph.ac.
4. Female – HAIR, falling out, genitalia- NAT.M.
5. Female – HAIR, falling out, genitalia- childbirth, during- ph.ac.
6. Female – HAIR, falling out, genitalia- vagina, vulva, labia- merc., nat.m., nit.ac.,
7. Generals – HAIR, general, head and body- falling, out, of hair-baldness, head- BAR.C., PH.AC., SIL., STANN.
8. Generals – HAIR, general, head and body- falling, out, of hair- baldness, head-childbirth, after- LYCO., SEP., SULPH.
9. Generals – HAIR, general, head and body- falling, out, of hair- baldness, head-grief, after- Ph.ac
10. Generals – HAIR, general, head and body- falling, out, of hair- baldness, head-patches, in – Apis., Ars.,Calc.,Graph.,Hep., Phos.
11. Generals – HAIR, general, head and body- falling, out, of hair- baldness, head – spots,in- FL.AC.
12. Generals – HAIR, general, head and body- falling, out, of hair- baldness, head-young, people- Bar.c., Sil.
13. Generals – HAIR, general, head and body- beard, falling out, of- Calc., Graph, Kali. c., Nat. c., Nat.m., Ph.ac.
14. Generals – HAIR, general, head and body- beard, falling out, of hair- grief, after- Ph.ac.
15. Generals – HAIR, general, head and body- falling, out, of hair- AUR., CARB.V.,CARBN.S., FL.AC., GRAPH., KALI.C., KALI.S., LACH, LYC., NAT.M.,NIT.AC., PHOS., SEP., SIL.,SULPH., THUJ.
16. Generals – HAIR, general, head and body- falling, out, of hair- all over- sel
17. Generals – HAIR, general, head and body- falling, out, of hair-childbirth, after- LYC., SEP., SULPH.
18. Generals – HAIR, general, head and body- falling, out, of hair-children, in- bar.c., ph.ac.
19. Generals – HAIR, general, head and body- falling, out, of hair-dandruff, due to- am.m., kali.c., thuj.
20. Generals – HAIR, general, head and body- falling, out, of hair-diseases, after- ph.ac.
21. Generals – HAIR, general, head and body- falling, out, of hair-extending all over body- alum.
22. Generals – HAIR, general, head and body- falling, out, of hair-forehead- Hep., Merc., Nat.m, Phos.
23. Generals – HAIR, general, head and body- falling out, of hair- grief, from- Ph.ac.
24. Generals – HAIR, general, head and body- falling out, of hair- handfuls,in- PHOS.
25. Generals – HAIR, general, head and body- falling out, of hair- headache, with- ant.c., nat.m., nit.ac., sep., sil.
26. Generals – HAIR, general, head and body- falling out, of hair- menopause- Sep.
27. Generals – HAIR, general, head and body- falling out, of hair- occiput, on- Carb.v. Chel., Petr.
28. Generals – HAIR, general, head and body- falling out, of hair- pregnancy, during- LACH.
29. Generals – HAIR, general, head and body- falling out, of hair- sides- Graph., Staph.
30. Generals – HAIR, general, head and body-, falling out, of hair- skin, general- Alum., Calc., Carb.v., Graph., Nat.m., Sec., Sil. 
31. Generals – HAIR, general, head and body-, falling out, of hair- spots, in – FL.AC.
32. Generals – HAIR, general, head and body-, falling out, of hair- spots, in – and comes in white- vinc.
33. Generals – HAIR, general, head and body- falling out, of hair- syphilis, from- merc., nit.ac.,ust,
34. Generals – HAIR, general, head and body- falling out, of hair- temples: Kali.c.,Nat.m.
35. Generals – HAIR, general, head and body- falling out, of hair- unusual parts on-med., thuj., tub.
36. Generals – HAIR, general, head and body- falling out, of hair- vertex: bar.c.,graph. lyco.,thuj., zinc.
37. Generals – HAIR, general, head and body- falling out, of hair- young people in:sil., tub.
38. Generals – HAIR, general, head and body- loss of hair, general- beard,from: Calc., Graph, Kali. c., Nat. c., Nat.m., Ph.ac.
39. Generals – HAIR, general, head and body- loss of hair, general- eyebrows, from: KALI. C. 
40. Generals – HAIR, general, head and body- loss of hair, general- eyelashes, from: RHUS –TOX.
41. Generals – HAIR, general, head and body- loss of hair, general- genitalia, female,from: NAT.M.
42. Generals – HAIR, general, head and body- loss of hair, general- genitalia, female,from-female-labia,vulva : merc., nit.ac.,
43. Generals – HAIR, general, head and body- loss of hair, general- genitalia, male, from: NAT.M.
44. Generals – HAIR, general, head and body- loss of hair, general- genitalia, male, from- offensive sweat from : SULPH.
45. Generals – HAIR, general, head and body- loss of hair, head, from- forehead, from: Hep., Merc., Nat.m, Phos.
46. Generals – HAIR, general, head and body- loss of hair, head, from- occiput, from: Carb.v. Chel., Petr.
47. Generals – HAIR, general, head and body- loss of hair, head, from- patches, in: Apis., Ars.,Calc.,Graph.,Hep., Phos.
48. Generals – HAIR, general, head and body- loss of hair, head, from- sides, from: Graph., Staph.
49. Generals – HAIR, general, head and body- loss of hair, head, from- spots,in: FL.AC.
50. Generals – HAIR, general, head and body- loss of hair, head, from- temples, from: Kali.c.,Nat.m.
51. Male –HAIR, falling off, genitalia: NAT.M.
52. Nose –HAIR, of nostrils, falls out : Caust., Graph.
53. Pregnancy – HAIR ,loss during pregnancy: LACH.
54. Skin-HAIR,skin -falls out : Alum., Calc., Carb.v.,Graph.,Nat.m., Sec.,Sel.

References 

1.Douglas ME.Skin diseases,their description, etiology, diagnosis and treatment according to law of similia. Reprint edition. New Delhi: B. Jain Publishers (P) ltd; 2001.

2.Brzezińska-Wcisło L, Bergler-Czop B, Wcislo-Dziadecka D,Lis Swiety A. New aspect of treatment of alopecia areata. Postepy Dermatol Alerqol. [Internet]. 2014 [cited 2018 July 18]; 31(4):262-265. Available from : www.ncbi.nlm.nih.gov/pubmed.

3.Murphy R. Homoeopathic Clinical Repertory A modern and practical repertory. 3rd edition. New Delhi: B. Jain Publishers (P) ltd; 2009.