Continued from last post....Study of the Rubrics generally associated with each other

• Company, Aversion to, agg., Solitude, fond of: …, …, Nat-m, …,

Company means companionship, to keep someone with. Aversion means deep dislike. Aggravation means to make worse.
Solitude means loneliness. To be fond of means desire for certain things.
Due to their disease, despair state, these peoples try to remain isolated. They don’t want to remain in company. Their complaints aggravates in company. They are generally lonely peoples.

• Delusions, imaginations, Net, he is in a: Nat-m

Delusions mean a misleading opinion, idea or belief or a state away from reality. Imaginations mean formation of images of objects not present by a mental faculty. Net means material made of hair, string, wire, etc tied, twisted or woven together to grasp the animals in it.
Generally, these people are so disturbed & depressed either due to their disappointment/ deception or diseases & feels as if they are trapped in a cage or net. They are not able to get opened in the society. Their face shows such anxiety.

• Delusions, imaginations, Pitied on account of his misfortune & he weeps, he is: Nat-m
• Weeping, tearful mood, Pitied, if he believes he is: Nat-m

Pitied means compassion, fellow-feeling.
Misfortune means bad luck.
Weeps mean to cry, to shed tears.
Due to suffering or present depressed state of mind because of some disappointment/ deception, these peoples always blames their destiny/ fortune & goes on weeping.

• Delusion, imaginations, Wretched, she looks, when looking in a mirror: Lap-c-b, Nat-m

Wretched means unfortunate, miserable.
Mirror is an entity which reflects the image of the person when looking in it. Mirror word can be considered as it is or if people around this person make comments regarding his personality, this can be considered as a mirror. He feels unfortunate. He blames his destiny. He feels he is unfortunate & that’s why he looks like that etc.
This version generally observed in the persons who are suffering from Scarred Acnes with greasy face or who are suffering from some skin disorders which alters their personalities etc.

• Despair, Pregnancy, during: Nat-m
• Indignation, Pregnant, while: Nat-m

Despair means to lose all hope.
Indignation means feeling of anger & scorn. Pregnancy means the state or condition of being full of meaning, formation of something new as new disturbing thoughts, ideas, eruptions etc. Pregnant word should not be taken only as a child bearing condition but considered as a full of meaning.
These people loose all the hopes whenever some new thing happens or develops or sometimes due to their suffering, they become angry on themselves or become indignant.

• Dwells on, Past disagreeable occurrences, Grieve therefore, to: Nat-m

Dwell means to live, to reside, and to think a lot. Past means the time that has gone by. Disagreeable means unpleasant, different than his/ her own thoughts.
Occurrences mean happenings.
Grieve means to cause grief to.
These people always lives in past. An unpleasant occurrences remains in their mind forever & they goes on thinking about them continuously. This becomes a chronic grief for them which is responsible for their present despair state.

• Faces the wall if anybody talks to him: Nat-m
• Looked at, Cannot bear to be, Faces the wall if anybody talks to him: Nat-m

Faces the wall means to turn the face towards the wall instead of facing the reality of the life.
Looked at, Cannot bear to be means never likes to be looked up-on by others.
Because of the despair, depressed state of mind either due to disappointment or deception or due to the suffering, these people don’t want to get mixed with the society. They are fond of solitude. If anyone wants to talk to them, they tries to avoid the communication, they run away from the place or they stops the talking by avoiding the looks with the other person. Even they don’t like the sympathy or consolation.

• Morose, sulky, cross, fretful, ill-humor, peevish, Questioned, when: Nat-m

Morose means sullen, gloomy.
Sulky means obstinately silent from ill-humour.
Cross mean contrary, bad tempered. Fretful means irritable, discontented etc.
Ill-humor means angry, indignant.
Peevish means irritable, making complaints always.
Question means a sentence in which one requests to know something.
Because of the despair, depressed state of mind either due to disappointment or deception or due to the suffering, these people are always found to be in an irritable, morose, sulky mood & this mood gets aggravated whenever they are questioned. They don’t like to be disturbed but desires solitude.

• Restlessness, nervousness, Alternating with, Indifference: Nat-m

Restlessness means knowing no rest, disturbed, unsettled.
Nervousness means uneasy & restless.
Alternating means placed each after one of the other kind.
Indifference means absence of interest or attention. These people always either look very restless & nervous due to their problems or absolutely indifferent to everything. They don’t have any interest in anything which is happening around them. You can observe such alternating state in these patients.

• Sadness, despondency, depression, melancholy, Disease, As from, Afternoon: Nat-m

Sadness means unhappy, sorrowful.
Despondency means hopeless.
Depression means sadness, the state of being dull.
Melancholy means sadness.
Disease means an illness, not at an ease.
Afternoon as a word means the time between noon & evening. But if you think & apply the same terminology to a complete period of the disease, then it can be considered as a period of the peak level of the disease turning towards its end either towards recovery or towards end. Due to severity of the disease state or despaired state because of some disappointment/ deception, these persons turned towards severe depression as from very severe disease.

Study of the Rubrics generally associated with each other

In some disorders of the skin which are generally disturbs beauty of an Individual & also if there is a big chronic disappointment in the life of a person, the following state of disposition & mind is expressed commonly.

1. Ailments from, Disappointment, deception, old: NAT-M
   Disappointment means fails to meet the expectations, hopes, desires & generally sadness develops as a result of it.
   Deception means the act of deceiving or cheating.
   An ailment means an illness.
   When disease is expressing on the Patient’s face or in his or her personality due to some old, long standing disappointment or if someone has cheated this person, one should definitely consider this rubric.
   Generally Physician can get the cause from the patient or attendant.
   
2. Absorbed, buried in thought, Become of him, as to what would: Nat-m
3. Thoughts, Himself, about, Become of him, what would: Nat-m
   Absorbed means deeply involved. Buried in thought means as if covered with earth; meaning deeply involved in the thoughts. As to what would become of him means due to such disappointment or deception or illness what will be the future of him.
   Such thoughts get crowded in such personalities & they look depressed. State of despair is expressing on their face. They look like as if in their own world & never understand what is happening around them.
   
4. Answer, answering, answers, Reluctantly, Physician, to: Nat-m
   Answer means to say something in return when questioned. Reluctantly means unwillingly. Physician means the person who is having knowledge of human being & their diseases & who treats the diseased individual.
   Generally, these people are so disturbed & depressed either due to their disappointment/ deception or diseases, they don’t want to share anything with anyone, not even the Physician who want to treat them & that’s why when questioned by him, they answer reluctantly.

A Case of CARCINOCIN

MRS.T.G.K., 69Yrs old lady, consulted me on 10th October1998, with only a single symptom:

• A pedunculated, painless wart on anterior side of neck since one year.
• She has cauterized it earlier 6 month back but it recurred again. She went to Surgeon who denied to operate & referred her to me.
• She was much anxious regarding her wart.
• I asked her, is it really necessary to get it removed?
• She answered that’s why I am here. Is it really getting removed with homoeopathy?
• No other complaints she answered.
• I thought : “Why a lady of 69 yrs desires to remove a painless wart?”
• Don’t you think it is interesting?
• I asked the same to her.
• She answered: Doctor, don’t you feel that it looks too ugly?

So, to start with the case, she gives us a hint if you are logical Homoeopathic Practitioner. But it’s too early to come to certain induction & getting prejudiced. We must perceive the whole case & then come to certain conclusion.

• According to Organon §185-209, it becomes a One sided local malady.
• We are now totally without any other data. So what should we do?
• In § 5 Dr. Hahnemann says How to investigate a Fundamental cause?
  So, we have to ask regarding Past, Family, Personal History along with Life Space Investigation to understand the Dynamic derangement of Vital Force.

Past History:

• Since 1965- A diagnose case of Myxoedema – She is on Eltroxin since.
• 1972 - Right radical mastectomy was done due to Ca-breast followed by radiotherapy.
• 1977 - Early menopause - She got DUB for which D&C was done followed by menopause.
• 1980-81 - Both eyes cataract operated.
• 1990 - Myocardial infarction followed by angioplasty.

Family History:

• Father died early due to Ca prostate.

Personal History:

• Sleeplessness due to multiple thoughts & ideas.

Life Space Investigation:

• A lady from well to do family, married early due to her father’s death.
• Husband LIC Businessman, has 4 sons & 2 daughters. All of them are very much settled & married.
• Since childhood, she is a happy go lucky, like outing in the nature.
• In fact she loves traveling & visiting different places.
• She is quiet excitable & therefore gets irritable very early for time being but it immediately disappears & becomes cheerful.
• She is very perfect in her work.
• Due to which always in anxious mood whether she make it perfect & expect that every one also should follow her. Therefore, every time reproaches her daughter in laws.
• Even though, she offends, she also shows love to others.
• She likes pet animals more & shows more sympathy for them.

Physical General Examination:

• Wt - 65kg.
• Pulse - 78/min.
• BP - 130/88 mm of Hg.
• Affectionate appearance, fair, good looking, up to date in dressing, wearing dark green saree with design of flowers on it.

Miasmatic Background: CANCER

• Family H/O Ca Prostate
• Past H/O Ca breast
• Perfectionism
• Extremist

Repertorial Totality:

• Affectionate
• Anxiety of conscience
• Dancing desire for
• Music desires
• Irritability alternate with cheerfulness
• Travel desires to be
• Reproaches others
• Fastidious
• Thunderstorm during >
• Skin, Eruption, Warts

Result of Repertorisation:

1. Carcinosin 20/10
2. Nat mur 11/7
3. Platina 7/7
4. Ars alb 13/6
5. Aur met 11/6

Homoeopathic Treatment: 10/10/1998

• Carcinosin 1m 1dose
• Placebo tds x 15days

25/10/1998 (15days after):

• Wart as it is.
• She was quiet happy & her anxiety for the same is reduced. But still asked, doctor how many days will it take to get removed?
• Placebo bd x 1mth

26/11/1998:

• She was very much happy showing me that the wart is on the way of falling.
• A good base was formed for its detachment.
• Placebo od x 1mth

20/12/1998:

• Wart absent without a sign of it as a scar or de-pigmentation.

20/12/1998: What she said is more important -

• Doctor, I was absolutely in doubt before taking medicine but what happened I don’t know.
• After the first dose, which you gave me at first consultation, immediately I felt that some thing is happening in me.
• Some change which I could not tell you in words.
• But I am sure it was due to your medicine.
• As medicines are going on, my irritability is also decreased considerably.

Repertory Simplified

What is the Repertory?
Repertory is defined in different ways.
It is called to be a Dictionary of the Materia Medica.
Repertory is a handy tool to come to a small group of Remedies from the Jungle of Remedies.

How to Study a Repertory?
If anyone wants to learn any Repertory, he must know it's construction. Construction is nothing but the Ground Plan of that Repertory i.e. how this Repertory is made, how is the arrangement of the Rubrics-sub rubrics, how the months-timings are defined etc.
Generally, all Repertories are based on the deductive logic except very few like Boenninghausen's Repertory which is based on the inductive logic.
Repertory based on the Deductive Logic means tha arrangement of the Rubric is from General Rubric to a very Particular Rubric as
Main Rubric
Sub Rubric
Sub-sub Rubric
Sub-sub sub Rubric etc. till the particular sub rubric is not finished.

ARRANGEMENT OF THE RUBRIC & SUB-RUBRIC & SUB-SUB RUBRIC…

• Alphabetical order except Timings
• Timings are according to their appearance beginning from Morning & ending with Midnight
• If any symptom is found during Daytime, then the symptom is given before starting the timings of the day; as morning, forenoon, & so on

Each general Rubric is further modified in to the following six modifications:

1. Sides: Right then Left
2. Timings: Morning...Midnight
3. Conditions & Circumstances (Modalities)
4. Extending to ( not extending from)
5. Location
6. Character of the pain or symptoms

• All the six modifications need not necessarily present under every general rubric.
• There is an alteration in the sequence of modifications in case of HEAD. The head being round & one, under the general rubric PAIN, the first modification ‘Side’ is not given but it is found under the fifth modification ‘Location’ starting with one side, both sides then followed by sides Right & Left as usual.
• The sub rubrics whenever possible, are also divided in to these six modifications.

GRADING OF SYMPTOMS:

• Grade 1
  Symptoms are recorded intensely in every prover during proving, confirmed every time by all provers during reproving & verified up on every similar sick persons carries 3 marks.
• Grade 2
  Symptoms are recorded less intensely in certain provers during proving, confirmed by some provers during reproving & verified up on some similar sick persons carries 2 marks.
• Grade 3
  Very few provers records such symptoms with very less intensity during proving, confirmed by very few provers by reproving & very occasionally verified up on similar sick persons carries 1 mark.
• Therefore,
  Grading = Intensity of the Rubric/ Symptom appeared in the proving
  Different Repertories have different grades.
  e.g. Synthesis = 5 Grades
  Complete = 4 Grades
  Kent = 3 Grades etc.

ARRANGEMENT OF THE TIMINGS:

1. Morning: 5am – 10am
2. Forenoon: 10am – 12noon
3. Noon: 12noon – 1pm
4. Afternoon: 1pm – 6pm
5. Evening: 6pm – 9pm
6. Night: After 9pm – 5am
7. Midnight before: Before 12’ O clock
8. After midnight: After 12’ O clock
9. Midnight: 12 O clock

• The clock timings like 5am, 6pm etc. are given at the end of each rubric.

CLASSIFICATION OF THE SEASONS:

1. Autumn: Sept, Oct, Nov यूरोपमध्ये उन्हाला आणि हिवालामधील रुतू
2. Winter: Dec, Jan, Feb शरद रुतू , हिवाला
3. Spring: Mar, Apr, May वसंत रुतू
4. Summer: June, July, Aug उन्हाला

WEATHER:

• Under Weather, there are further classifications such as Clear, Cloudy, Foggy, Stormy, Windy, Dry, Cold, Wet weather etc.
• There is no such rubric as Weather in Generalities & all the weather conditions put under it but we will find them in an alphabetical order in Kent’s Repertory.
• But in Synthesis, we can get such a rubric in Generalities chapter as Weather… followed by sub-rubrics

Two cases of One Sided Disease cured with Same Rubrics

Case 1:
A Case of Corn on a Palm
&
Case 2:
A Case of Pedunculated Wart on a Finger

In both cases Patient's version was SAME. Version means what patient says about his disease. Both Patient used very similar language in the same tone.
Patient's Version with Doctor:
Patient: Doctor, look at this. I am having this (Corn/ Wart) since long time. Is it curable with Homoeopathy?
Doctor: Why don't you told me regarding this previously? ( As both the patients were under my Homoeopathic treatment since long time for some ailments)
Patient: Doctor, I felt it will be settled by it's own. I have tried some local measures & I felt it will disappear. That's why I never told regarding it to you. Why this appears?

That's all I have considered for Repertorisation.
Rubrics:
1. Light, Desire for: As described earlier, Light has multiple meanings in the dictionary & you can use this rubric with respect to all of them.
For e.g. Light means really a light i.e. opposite to darkness. So, if a person doesn’t know regarding anything, he is in dark about the same thing. If he wants to know regarding the same i.e. he wants to throw light up on it, you can consider the same rubric as described in the above case. He was in dark regarding the cause of her illness & he casually asked the question which indicates he wants to throw a light on it. If you are using this rubric, always find it out the casual approach of the patient for asking this question. Even if you don’t answer his question, it doesn’t matter. Here it differs from the rubric Inquisitive in which there is no casual approach & person waits for perfect answer or he needs the complete answer of the question. He goes on asking till he gets satisfied answer. If a person desires light in the same sense of light, you can consider the same rubric. If a person likes comedy movies just to enjoy coming out of the heavy stress, you can use the same rubric. If a person is obese & he wants to reduce his weight, you can consider him same rubric. In the similar manner, you can use not only this rubric but the entire rubrics using proper logic.
2. Delusions, Sheep, Driving: Aconite is the Single Remedy under this rubric. What does it means exactly? It was the question for me since long time. But as I have started learning RH aspect, I got the detailed meaning of such difficult looking rubrics.
Sheep's are such animals which walks looking down behind the first one. They don't have the sense whatever is going around them. They go on walking. The person who takes them just makes only certain voice or noise & these sheeps follow that without looking anywhere. It is not so difficult. In the similar manner, Patient feels that his disease is not so difficult & he can manage it by some simple measures as if he can manage the sheep's. He feel regarding the disease as if the sheeps are walking, his disease is also going on & on. चल रहा है, चलने दो।
In short, Delusion, Sheep, Driving means the Patient feels his disease is like a Sheep & he can manage it by some local means. He takes it so lightly.

In both cases I have prescribed Aconite 30 three doses, followed by placebos & both cases cured completely within 10 days. This happened first time because previously such one sided cases were most difficult task for me to get cured in my practice.
Understanding the meaning of the difficult Rubrics & Perceiving them in Patient's versions always make Homoeopathic Practice easy.

Thank You!

Understanding the Rubrics of a Case of Viral Warts

1. Restlessness, Children, in: Here the role of the Homoeopathic Physician is most important. Dr Samuel Hahnemannin § 83 says about qualities of the Homoeopathic Physician as Attention in Observing which is important to find out such rubrics because Patient will not give you such a information but one has to OBSERVE CAREFULLY. Such Children never sits in one place in your O.P.D.. They goes here & there, touches number of things.
2. Affectation: Means showing feelings which are not Natural. For e.g. A child before coming to clinic tells everyone that I will talk to Doctor about my suffering, I am not at all frightened about injections, I am fearless etc., but as soon as he enters the clinic, he starts crying loudly. All is daring vanishes. This is typical Affectation.
3. Obstinate, Children: You can get this information from the parents as well as you can observe it during case taking. This rubric you can get very commonly in children.
4. Clinging, Children, of, Awake terrified, know no one, cling to those near: Means to hold fast. This generally develops because of the fright or frightful dreams. Those children wakes at night due to some reason & get frightened, & clings to those who are near to them. This information comes from parents.
5. Biting, Nails: You can get this information from the parents as well as you can observe it during case taking. This rubric you can get very commonly in children. Generally, these children are restless as well as shy or timid. You can observe the nails & then parent tell that we don't have to cut his/ her nails. It goes automatically in the mouth.

Master Dr Samuel Hahnemann's Day!

Greetings of our master Dr Samuel Hahnemann's Day!

A Case of Viral Warts

14 Jan 2009, 6pm:

9 Feb 2009, Follow-up:

6 May2009, Follow-up:

Patient’s Father: Dr Joshi, Skin Specialist, referred Harsh towards you for his problem of warts on hands since 2-3 months. He told us that in Homoeopathy there is a medicine Thuja for such problems & most probably will be prescribed. If it never settles with Homoeopathic medicines, we will burn those.
Patient’s Father: Doctor, what may be the cause behind these? And one more thing I want to tell you that now a days he is bunking school by giving some reasons like pain in abdomen or headache etc. He became obstinate & never listens to anyone. Probably getting frightened at night because he wakes at night & clings to me. During this conversation, he was biting his nails.

This was the present state of disposition & mind of the case for me.

If I would have been an old prescriber, I would have entered in to all the details & may be there would be jumbling in the actual prescription. Because I would have considered the following rubric. This was denoting the actual diseased pathology & not a state of disposition.
Complete Repertory:
EXTREMITIES: WARTS, Fingers, Nails, Close, to Caust3, Dulc, Fl-ac, Graph, Lyco, Nat-m, Sep
I might have considered the Miasm in the case.
? Miasm: SYCOTIC
But this time I have considered following rubrics which were considered on patient’s state of disposition & mind & repertorised with Complete Repertory.
Rubrics:
Restlessness, children, in
Affectation
Obstinate, children
Clinging, Children, of, Awake terrified, know no one, cling to those near
Biting, nails
Result of Repertorisation:
Stram: 9/5
Hyos: 6/4
Lyco: 6/4
Treatment: Stramonium 30, 3 Doses followed by placebo for a month.

Follow-up, 9 Feb 2009:
Warts disappeared more than 50%.

Getting confident.

Restlessness decreased.
Biting nails has gone.

Placebo continued.

Follow-up: 6 May 2009
Warts disappeared completely.

Confident.

Restlessness absent.

No biting nails.

Treatment stopped.

What is the Law of Similars?
Law of Similars states that a drug capable of producing in a healthy individual, a diseased state, exactly similar to that happens in a diseased individual act as a curative agent, if disease is in a curable state.
Why it is important to consider the State of the Disposition & Mind?
In the 6th edition of Organon of Medicine, our Master Dr Samuel Hahnemann says in § 211: This holds good to such an extent, that the state of the disposition of the patient often chiefly determines the selection of the homoeopathic remedy, as being a decidedly characteristic symptom which can least of all remain concealed from the accurately observing physician.
Why it is necessary to consider only the state of disposion & mind & not the diseased pathology for repertorisation?
Because Dr J.T. Kent says: "Drugs have not all been pushed far enough to produce lesions, and their voices do not carry, as a rule, deeper than function – except in the cases of accidental poisoning." So, we never gets pathological symptoms after drug proving to include in our Materia Medicas as well as in Repertories which can be used as Similar Rubric.

REPETITION OF THE REMEDY: Dr J.T.Kent's Repertory

• Last, & least important of all, comes the names of the patients malady.
• Look it up, if you like, at the very end, and it may joyfully confirm your choice of drug , which it must not unduly bias.
• If your patient is an asthmatic patient, it is comforting to know that the drug his symptoms demand has again and again cured bad cases of asthma.
  But remedies that have never been recorded as having cured asthma will do the trick, if the symptoms of the patient cry out for them, as their simillimum.
• Drugs have not all been pushed far enough to produce lesions, and their voices do not carry, as a rule, deeper than function – except in the cases of accidental poisoning.
• But get the right drug, the stimulus needed, and you will find the reaction of the organism deep enough in all conscience, and long-sustained.
• Then KEEP YOUR HANDAS OFF! Wait long for a second very definite cry, before you dare to interfere. You may have to wait months – then wait!
• Remember, it is the patient who has to cure himself; the drug can not cure him, the drug is only the stimulus that starts the vital reaction.
• So long has curative reaction is in progress, it is senseless – criminal – to interfere.
• This is the way to crush your work, to vitiate your experience, to break your heart.
• So long the patient is improving, let him be, and never meddle till he begins to sleep back: that is the first possible moment to repeat, or to reconsider the case.
• It is safer to be a little late than a little soon. You must “ go fast slowly ”, there is no other way.