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--- en:kent:use_of_repertory [2014/11/25 13:16]
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+++ en:kent:use_of_repertory [2014/11/25 13:22]
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 As homoepathy includes both science and art, Repertory study must consist of science and art.
-The scientific method is the mechanical method ; taking all the symptoms and writing out all the associated remedies with gradings, making a summary with grades marked, at the end.
+The scientific method is the mechanical method; taking all the symptoms and writing out all the associated remedies with gradings, making a summary with grades marked, at the end.
-There is an artistic method that omits the mechanical, and is better, but all are not prepared to use it. The artistic method demands that judgment be passed on all the symptoms, after the case is most carefully taken. The symptoms must be judged as to their value as characteristics, in relation to the patient ; they must be passed in review by the rational mind to determine those which are strange, rare, and peculiar.
+There is an artistic method that omits the mechanical, and is better, but all are not prepared to use it. The artistic method demands that judgment be passed on all the symptoms, after the case is most carefully taken. The symptoms must be judged as to their value as characteristics, in relation to the patient; they must be passed in review by the rational mind to determine those which are strange, rare, and peculiar.
 Symptoms most peculiar to the patient must be taken first, then those less and less peculiar until the symptoms that are common and not peculiar are reached, in order, from first to last.
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 These must be valued in proportion as they relate to the patient rather than to his parts, and used instead of ultimates and symptoms pathognomonic.
-Symptoms to be taken :
+Symptoms to be taken:
 First -- are those relating to the loves and hates, or desires and aversions.Next -- are those belonging to the rational mind, so-called intellectual mind.Thirdly -- those belonging to the memory.
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 These, the mental symptoms, must first be worked out by the usual form until the remedies best suited to his mental condition are determined, omitting all symptoms that relate to a pathological cause and all that are common to disease and to people. When the sum of these has been settled, a group of five or ten remedies, or as many as appear, we we are then prepared to compare them and the remedies found related to the remaining symptoms of the case.
-The symptoms that are next most important are those related to the entire man and his entire body, or his blood and fluids : //as sensitiveness to heat, to cold, to storm, to rest, to night, to day, to time.// They include both symptoms and modalities.
+The symptoms that are next most important are those related to the entire man and his entire body, or his blood and fluids: //as sensitiveness to heat, to cold, to storm, to rest, to night, to day, to time.// They include both symptoms and modalities.
 As many as these as are found, also, in the first group, the mental summary, are to be retained.
-There is no need of writing out the remedies not in the mental group ou summary ; these symptoms, relating to the whole patient, cannot be omitted with any hope of success.
+There is no need of writing out the remedies not in the mental group ou summary; these symptoms, relating to the whole patient, cannot be omitted with any hope of success.
-We must next look over all the record to ascertain which of that group are most similar to the particulars of the regions of the body ; of the organs of the body ; of the parts ; and of the extremities.
+We must next look over all the record to ascertain which of that group are most similar to the particulars of the regions of the body; of the organs of the body; of the parts; and of the extremities.
 Preference must be accorded to discharges from ulcers, from uterus during menstruation, from ears, and from other parts, as those are very closely related to the vital operation of the economy.
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 These include some keynotes which may guide safely to a remedy or to the shaping of results, //provided that the mental and the physical generals do not stand contrary, as to their modalities, and therefore oppose the keynote-symptoms.//
-Any remedy correctly worked out, when looked up in the Materia Medica, should be perceived to agree with, and to fit, the patient ; his symptoms ; his parts ; and his modalities. It is quite possible for a remedy not having the highest marking in the anemnesis to be the most similar in image, as seen in the Materia Medica.
+Any remedy correctly worked out, when looked up in the Materia Medica, should be perceived to agree with, and to fit, the patient; his symptoms; his parts; and his modalities. It is quite possible for a remedy not having the highest marking in the anemnesis to be the most similar in image, as seen in the Materia Medica.
-The artistic prescriber sees much in the proving that cannot be retained in the Repertory, where everything must be sacrificed for the alphabetical system. The artistic prescriber must study Materia Medica long and earnestly to enable him to fix in his mind sick images, which, when needed, will infill the sick personalities of human beings. These are too numerous and too various to be named or classified. I have often known the intuitive prescriber to attempt to explain a so-called marvellous cure by saying : "I cannot quite say how I came to give that remedy but it resembled him."
+The artistic prescriber sees much in the proving that cannot be retained in the Repertory, where everything must be sacrificed for the alphabetical system. The artistic prescriber must study Materia Medica long and earnestly to enable him to fix in his mind sick images, which, when needed, will infill the sick personalities of human beings. These are too numerous and too various to be named or classified. I have often known the intuitive prescriber to attempt to explain a so-called marvellous cure by saying: "I cannot quite say how I came to give that remedy but it resembled him."
-We have heard this, and felt it, and seen it, but who can attempt to explain it ? It is something that belongs not to the neophyte, but comes gradually to the experienced artistic prescriber. It is only the growth of art in the artistic mind : what is noticed in all artists. It belongs to all healing artists, but if carried too far it becomes a fatal mistake, and must therefore be corrected by Repertory work done in even the most mechanical manner.
+We have heard this, and felt it, and seen it, but who can attempt to explain it? It is something that belongs not to the neophyte, but comes gradually to the experienced artistic prescriber. It is only the growth of art in the artistic mind: what is noticed in all artists. It belongs to all healing artists, but if carried too far it becomes a fatal mistake, and must therefore be corrected by Repertory work done in even the most mechanical manner.
 The more each one restrains the tendency to carelessness in prescribing and in method, the wiser he becomes in artistic effects and Materia Medica work. The two features of prescribing must go hand in hand, and must be kept in a high degree of balance, or loose methods and habits will come upon any good worker.
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 A high temperature, a fever //without thirst,// is in a measure //peculiar.// A hard chill with thirst for cold water is peculiar. Thirst with a fever, with the heat, is not peculiar, because you can safely say it is common to find //heat with thirst,// and uncommon to find heat without thirst. That which is common to any given disease is never //peculiar.// This may seem too simple to demand an explanation, but let him who knows it go to the next page. Pathognomonic symptoms are not used to individualize by, and are never peculiar in the sense asked for.
-I am asked what I mean when I say to beginners, //treat the patient and not the disease.// My answer always is about as follows : the symptom that is seldom found in a given disease is one not peculiar to the disease, but peculiar to the patient, therefore the peculiarities of the patient have made the disease differ from all the members of its class and from all others in the class, and make this disease, as affecting this patient, an individuality by itself, and can only be treated as an individual. This individuality in the patient manifests itself by //peculiar// symptoms nearly always prominent, and always looked for by the true healer. The man who gives Acon. for fever knows nothing of the spirit of the law or the duties of the physician. The same is true of //Colocynth// for colic, //Arsenicum// for chill, etc.
+I am asked what I mean when I say to beginners, //treat the patient and not the disease.// My answer always is about as follows: the symptom that is seldom found in a given disease is one not peculiar to the disease, but peculiar to the patient, therefore the peculiarities of the patient have made the disease differ from all the members of its class and from all others in the class, and make this disease, as affecting this patient, an individuality by itself, and can only be treated as an individual. This individuality in the patient manifests itself by //peculiar// symptoms nearly always prominent, and always looked for by the true healer. The man who gives Acon. for fever knows nothing of the spirit of the law or the duties of the physician. The same is true of //Colocynth// for colic, //Arsenicum// for chill, etc.
-"What shall we do when we find several peculiarities in the same patient and one remedy does not cover them all ?" Here is where the astute physician will pick up his //Repertory// and commence the search for a remedy most similar to all, and if he has been a student for a few years he need not go about asking foolish questions. The lazy man has spent his days in the folly of pleasures, and the man of limited belief has shot out so many valuable things that he is constantly up in public asking foolish questions and reporting cases with symptoms so badly taken that he reveals the whereabouts of his past life. He has not made use of the //Repertory,// and shows a complete ignorance of the //rubrics// and the usual formality of taking symptoms as taught by Hahnemann. It is a blessed thing that they are not responsible for all their ignorance. Where shall the responsibility rest, and who shall "throw the first stone ?"
+"What shall we do when we find several peculiarities in the same patient and one remedy does not cover them all?" Here is where the astute physician will pick up his //Repertory// and commence the search for a remedy most similar to all, and if he has been a student for a few years he need not go about asking foolish questions. The lazy man has spent his days in the folly of pleasures, and the man of limited belief has shot out so many valuable things that he is constantly up in public asking foolish questions and reporting cases with symptoms so badly taken that he reveals the whereabouts of his past life. He has not made use of the //Repertory,// and shows a complete ignorance of the //rubrics// and the usual formality of taking symptoms as taught by Hahnemann. It is a blessed thing that they are not responsible for all their ignorance. Where shall the responsibility rest, and who shall "throw the first stone?"
 It is so easy to wink at the sins that we ourselves are guilty of that is seems impossible to find judge or jury before whom to arraign the first law-breaker.
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 It may be said that the above is only routine work and everybody does it just that way. True, but after so much has been accepted the more intricate problems come up. To work out a well-rounded case is the simplest part of Repertory work, but when one-sided cases appear and when the patient states his symptoms in language that cannot be found in provings the case is far different. The record of the patient should stand as nearly as possible in his own language. From an extensive correspondence and many years of teaching graduates, I have come to the conclusion that it is a difficult matter for many to know when the record of symptoms contains the possibilities of a curative prescription. Many cases are presented with no generals and no mental symptoms -- absolutely no characterizing symptoms -- only the symptoms common to sickness. When a successful prescription is made on such symptoms it is scarcely more than a "lucky hit". It cannot be classed as scientific prescribing. Many records are presented with pages of vague description and one keynote that has served as a disgraceful "stool pigeon" to call forth a failure from many doctors.
-Unless the symptoms that characterize the patient are brought out in the record the physician should not be surprised at a failure. The remedy must be similar to the symptoms of the patient as well as the pathognomonic symptoms of his disease in order to cure. To show something about the requirements of Repertory work, I will try to bring out hypothetical groups of symptoms such as come to every man. In a well-rounded case, or as an isolated group, we frequently meet with what is called "writer's cramp". This must be divided into many elements before it can be properly put on paper as a work-out case or fragment of a case. If we should take "writer's cramp" and say no more about it, we would have only a limited number of remedies to look to for cure. But our resources are unlimited, as well be seen. "Writer's cramp", when examined into, will be found to mean cramp in fingers, hand or arms, or all three. Sometimes numbness and tingling of one or all three ; sometimes sensation of paralysis in one or all three ; sometimes tingling of fingers and hand, and all of these conditions from writing or worse while writing.
+Unless the symptoms that characterize the patient are brought out in the record the physician should not be surprised at a failure. The remedy must be similar to the symptoms of the patient as well as the pathognomonic symptoms of his disease in order to cure. To show something about the requirements of Repertory work, I will try to bring out hypothetical groups of symptoms such as come to every man. In a well-rounded case, or as an isolated group, we frequently meet with what is called "writer's cramp". This must be divided into many elements before it can be properly put on paper as a work-out case or fragment of a case. If we should take "writer's cramp" and say no more about it, we would have only a limited number of remedies to look to for cure. But our resources are unlimited, as well be seen. "Writer's cramp", when examined into, will be found to mean cramp in fingers, hand or arms, or all three. Sometimes numbness and tingling of one or all three; sometimes sensation of paralysis in one or all three; sometimes tingling of fingers and hand, and all of these conditions from writing or worse while writing.
-Cramp in fingers while writing : Brach., Cocc., Cycl., Trill., Mag-ph., Stann.Cramp in hand while writing : //Anac.,// Euph., Mag-p., Nat-p., Sil.Numbness in fingers while writing : Carl.Numbness in hand while writing : Agar., //Zinc.// Paralytic feeling in hand while writing : Acon., Agar., Chel., Cocc.Cramp in wrist while writing : Amyl-n., Brach.
+Cramp in fingers while writing: Brach., Cocc., Cycl., Trill., Mag-ph., Stann.Cramp in hand while writing: //Anac.,// Euph., Mag-p., Nat-p., Sil.Numbness in fingers while writing: Carl.Numbness in hand while writing: Agar., //Zinc.// Paralytic feeling in hand while writing: Acon., Agar., Chel., Cocc.Cramp in wrist while writing: Amyl-n., Brach.
-The above brings out all that can be found in the Materia Medica on this subject, and failure often follows owing to the scanty clinical and pathogenetic records to which we have access ; but we have just begun to consider that vexatious group of symptoms. It is true that sometimes the above scanty showing presents just the remedy required. But oftener it does not, and then we may proceed as follows :
+The above brings out all that can be found in the Materia Medica on this subject, and failure often follows owing to the scanty clinical and pathogenetic records to which we have access; but we have just begun to consider that vexatious group of symptoms. It is true that sometimes the above scanty showing presents just the remedy required. But oftener it does not, and then we may proceed as follows:
-Cramp in the fingers, hand and wrist or such parts as are affected : use the general groups on pages 971, 972 & 973 of my Repertory.
+Cramp in the fingers, hand and wrist or such parts as are affected: use the general groups on pages 971, 972 & 973 of my Repertory.
-Numbness of fingers and hand : pages 1038 and 1039, using also the general group.
+Numbness of fingers and hand: pages 1038 and 1039, using also the general group.
-Sensation of paralysis of hands and fingers : use the general groups, pages 1176 and 1179.
+Sensation of paralysis of hands and fingers: use the general groups, pages 1176 and 1179.
 After these have been carefully written out, turn to the general rubric in Generalities, on page 1358, "Exertion", and write out such of these remedies as are found in the complex symptoms from exertion. Writing is nothing else but prolonged exertion. When this simple lesson is learned the physician will see at once that the same process will show the remedy in those who have lost the power of the hand and fingers, or have cramps, etc., from playing stringed instruments or playing the piano or the prolonged use of any tool or instrument. It is using in proper manner a general rubric.

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