Dr Sunila BHMS,MD(Hom)
The homoeopathic medical repertory by Robin Murphy was designed to be a modern, practical & easy to use reference guide to the vast Homoeopathic Materia Medica. All of Kent’s repertory & large sections of Kneer’s repertory were used as the foundation for building the new repertory. 70 different chapters were created & arranged in alphabetical order from the original 37 chapters. Next, all rubric & sub rubrics within each chapter were sorted into an alphabetical format. Thus simplifying Kent’s complicated system for arranging rubrics & sub rubrics.
The formatting for Homoeopathic Medical Repertory is similar to Kent’s Repertory with the strongest remedies designated in bold- capitals (3 points), next bold italics (2 points) & plain type (1 point).
Special chapter is dedicated for pulse in Murphy’s repertory. There is no special chapter for pulse in Kent’s Repertory & Synthesis Repertory. Rubric PULSE is present in GENERALITIES chapter in both of these Repertories. In Boenninghausen’s Therapeutic Pocket Bookrubric Pulse is coming under CIRCULATION chapter. In Boger Boenninghausen’s Repertory subchapter PULSE is coming under chapter CIRCULATION.
PULSE
Pulse is the throbbing of the arteries as an effect of the heart beat. It can be felt at the neck (carotid artery), at the wrist (radial artery), behind theknee (Popliteal artery), on the inside of the elbow (Brachial artery), near the ankle joint (Posterior Tibial artery), and a few other places.
When the heart contract, blood is ejected into the aorta and the aorta stretches. At this point the wave of distention (pulse wave) is pronounced but relatively slow-moving (3 to 6 m/s). As it travels towards the peripheral blood vessels, it gradually diminishes and becomes faster. In the large arterial branches, its velocity is 7 to 10 m/s; in the small arteries, it is 15 to 35 m/s.
A normal pulse rate for a healthy adult, while resting, can range from 60 to 100 beats per minute (BPM). During sleep, this can drop to as low as 40 BPM; during strenuous exercise, it can rise as high as 200–220 BPM. Generally, pulse rates are higher in younger people. A resting heart rate for an infant is as high as or higher than an adult’s pulse rate during strenuous exercise.
Pulses are manually palpated with fingers. When palpating the carotid artery, the femoral artery or the brachial artery, the thumb may be used. Fingers or thumb must be placed near an artery and pressed gently against a firm structure, usually a bone, in order to feel the pulse.
The ease of palpability of a pulse is dictated by the patient’s blood pressure. If his or her systolic blood pressure is below 90 mmHg, the radial pulse will not be palpable. Below 80 mmHg, the brachial pulse will not be palpable. Below 60 mmHg, the carotid pulse will not be palpable. Since systolic blood pressure rarely drops that low, the lack of a carotid pulse usually indicates death.
Abnormal pulse
- Slow rising pulse or anacrotic pulse: occurs in aortic stenosis.
- Collapsing or water hammer pulse with rapid upstroke & descent characteristically occurs n aortic regurgitation.
- Bisferiens pulse: this is a combination of low rising & collapsing pulses occurring when aortic stenosis & incompetence are present.
- Pulsus paradoxus: normally systolic B. P. falls by 3 to 10 mm of Hg during inspiration but in pulsus paradoxus B. P falls by 10 mm of Hg or more hence there is complete disappearance of the pulse with deep inspiration.
- Pulsus parvus: diminished left ventricular stroke volume, narrow pulse pressure & increased peripheral vascular resistance.
- Pulsus alternans: regularly irregular pulse; where big beats & little beats alternate at regular intervals suggestive of left ventricular failure.
Chapter pulse in Murphy’s repertory is dealing with various kinds of abnormal pulse.
Important rubrics in “pulse” chapter
ABNORMAL, pulse: ACON, ARS, ARS-I, BELL, CUPR, DIG, HYOS, IOD, KREOS, LACH, OP, PH-AC, PHOS RHUST, SIL, STRAM, VERAT.
ABSENT: ANT-T, CARB-V, HYDR-AC, OP
Suffocation with: CACT.
AUDIBLE, pulse: SPIG
DISCORANT, with fever: PYROG
DOUBLE, pulse: kali-c, phos.
angina pectoris in: aml-n
sometimes intermitting when heart’ action is accelerated: ferr-m
DRINKING
affected by beer or coffee: rhus-t
EMPTY pulse: lach, sec, vat
EPIGASTRIUM, beat felt: nat-m, puls.
FAST, pulse: GELS, GLON, IOD, MERC, NAT-M, NUX-V, OP, PH-AC, PHOS, PYROG, RHUT, SEC, SIL, SPIG, STANN, STRAM, SULPH, VERAT-V, ZINC.
beats per minute:
Reference:
- Synthesis Repertory by Fredericke Schroyens
- Homoeopathic medical repertory by Robin Murphy
- Repertory of Homoeopathic Materia Medica by J T Kent
- Boger Boenninghausen’s Repertory
- Boennibnghausen’s Therapeutic Pocket Book.
- Hutchison’s Clinical Methods.
- www. Wikipedia.com.
Dr Sunila BHMS,MD(Hom)
E mail: babuabu@gmail.com
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