NMT150 HOMEO, Wk8 Repertory practice (4) (1).pdf

INTRO TO REPERTORY PRACTICAL SESSION NMT150 Y1T2 REPERTORY = Index with symptom rubrics referring to the remedies of the Materia Medica (MM = compendium of remedies) RUBRICS Rubric = symptom description, in the form of headings and sub-headings E.g.: Head - pain - evening...

INTRO TO REPERTORY PRACTICAL SESSION NMT150 Y1T2 REPERTORY = Index with symptom rubrics referring to the remedies of the Materia Medica (MM = compendium of remedies) RUBRICS Rubric = symptom description, in the form of headings and sub-headings E.g.: Head - pain - evening Each rubric is followed by a list of remedies known to exhibit that symptom Head-pain, evening: all-c, bell, kali-s, mez, sulph, etc. (the remedies are abbreviated) Organized by chapters; each chapter pertains to a specific body area (e.g. head, throat, etc.), function (hearing, vision, etc.), or area of pathology (vertigo, cough, fever, etc.) N.B. Different repertories have somewhat different chapter headings and/or order of chapters "REPERTORIZATION" During Case Analysis, we must translate our pa5ent’s symptom descrip5ons into the language of the repertory. For example: “Doctor, I have a pounding headache”: RUBRIC: Head- Pain, pulsa5ng (or throbbing) “When I have a headache like this, the only thing I can do is lie down in a dark room.”: RUBRIC: Head- Pain- lying while- in a dark room, amel SYNTHESIS R E P E R TO R Y 2 photographs from the printed textbook (on the le8, you can see all the chapters – read ver>cally) SYNTHESIS R E P E R TO R Y 2 images from the Synthesis app for smart phones  REMEDY “GRADES”: 1 - 4 1. Regular font: symptom minimally proven (1-3 out of 50 provers) and/ or cured very occasionally by remedy = grade 1 2. Italics: symptom proven by a minority of provers and/or cured occasionally by the remedy = grade 2 3. Bold: symptom has been proven by most provers and/often cured by the remedy = grade 3 4. CAPS & BOLD: symptom has been proven by all provers and/or very often cured by the remedy = grade 4  FOUR BASIC SOURCES OF THE REPERTORY: 1. proven symptoms: ex. nausea waking up in the morning... - symptom entered in the materia medica a7er proving (tes:ng) of a remedy by a healthy volunteer 2. cured symptoms: ex. cancer lesions – clinical informa:on 3. toxicology: pathogenicity of remedies: ex. tumour of jaw due to toxicity of Phos (match factory) - from toxic reports 4. symptoms not proven: morphological symptoms* typical of people that need remedy. For example: -Lyc for people with emacia:on downwards and -Sulph for individuals with stooped shoulders * least valuable symptoms HOW TO TRANSLATE A SYMPTOM INTO A RUBRIC Iden5fy the: 1) Chapter 2) Rubric 3) Sub rubric(s) e.g. Headache with a stabbing pain over the leJ eye. Chapter: HEAD Rubric: Pain Sub Rubrics: Forehead... Eyes... Above... leJ... s5tching pain Rubric: HEAD, Pain, Forehead, Eyes, Above, leJ, s5tching pain TIPS Iden5fy the key words in the symptom, what the symptom is about If you can’t find the rubric using the word given, think of a synonym (you can use a thesaurus) A symptom might be found in mul5ple chapters Pick the best one = the most accurate, and RELIABLE (or combine the rubrics) If you can’t find the rubric the first way you try, then try a different approach (use a different chapter or different word or change the order of the words); think crea5vely If there is nothing wriQen about a modality, assume it means aggravates. It can also be an objec5ve or subjec5ve symptom E.g. HEAD, heat [= "heat aggravates the head" or "the head is/feels warm"] GENERAL STRUCTURE OF RUBRICS AND SUB-RUBRICS: S - T - MD - E - L Side: "one side", "alternating sides", "right", "left", "crosswise"… Time: "day and night", "daytime", "morning", "forenoon", "noon", "afternoon", "evening", "night" Modalities: what aggravates or ameliorates the symptom Descriptions: triggers (etiology), sensations and concomitants Extending to: (with the Locations (just before) as subrubrics) Locations: in alphabetical order, at the end of a rubric or chapter. Location headings always start with a Capital letter (eg: Feet). Main symptom: e.g. Pain sec+on 1-Side (le4 or right) 2-Time of day 3-Modali=es and Descrip=ons (circumstances, concomitants, causali=es, sensa=on "as if", and character of pain) 3.1-Side 3.2-Time 3.3-Modali=es and Descrip=ons (3.4-Extending to) 4-Loca=ons (i.e. where, e.g. Foot) 4.1-Side 4.2-Time 4.3-Modali=es and Descrip=ons 4.4.1-Side 4.4.2-Time 4.4.3-Modali=es and Descrip=ons 4.4-Extending to 4.5 Loca=ons (e.g. Toes) 4.5.1-Side 4.5.2-Time 4.5.3-Modali=es and Descrip=ons 4.5.4-Extending to IDIOSYNCRASIES OF INDIVIDUAL CHAPTERS Mind: “Delusions” means something the person feels or believes to be true, although it may not be (as in delusional cases). It can also simply be someone geXng an odd idea or impression, though they know it is not real or true, it's just a sensa[on or feeling "as if") E.g. Mind-delusions-outcast; she were an Head: Includes brain & forehead (cranium) Vision: includes colors, scotoma, sparks, spots, blindness ("loss") Nose: includes sinuses (but "sinusi[s" is in "Generals – inflamma[on – Sinuses; of") C H A P T E RS ' I D I O SY N C R A S I ES , CO N T. Face: includes lips, TMJ, jaws, expression Stomach: includes appeIte, thirst, eructaIon, heartburn, nausea, vomiIng, hiccups, anxiety felt in stomach Abdomen: includes liver, pancreas, spleen, intesInes, appendix Rectum: includes anus, buLocks, consIpaIon, diarrhea, flatus, hemorrhoids C H A P T E RS ' I D I O SY N C R A S I ES , CO N T. Chest: Includes External: sternum, mammae, axilla, clavicle, ribs, costal car[lage, milk etc; Internal: diaphragm, lungs, heart Back: includes spinal cord Fever: Includes sensa-on of fever, with or without actual fever Generals: Symptoms that affect the whole body in general, or more than just one part. Diseases, tumors, convulsions, paralysis, weather affecIons, temperature sensaIons, food desires/ aversions/ aggravaIons/ amelioraIons... REPERTORY PRACTICE headache with pressing pain that is localized above the le= eye and extends to (or into) the right eye THANK YOU!