| Repertory Preface James T. Kent
This work is offered to the profession as a general
Repertory of the Homopathic Materia Medica. It has been built from
all sources, and is a compilation of all the useful symptoms recorded in
the fundamental works of our Materia Medica, as well as from the notes of
our ablest practitioners. Many unverified symptoms have been omitted, but
only when there was a decided doubt about their consistency. And on the
other hand clinical matters have been given a place when it was observed
to be consistent with the nature of the remedy.
The plan of the Repertory is uniform throughout, and it
is one which admits of the indefinite expansion of each division, so that
remedies can be added from time to time as they come into use or have been
confirmed and verified. It has been attempted to proceed in every case from
generals to particulars, and in so carrying this out the aim has been to
give first of all a general rubric containing all the remedies which have
produced the symptoms, followed by the particulars, viz. the time of
occurence, the circumstances, and lastly the extensions. Here it may be
remarked, in regard to extensions, that the point from which a certain
symptom extends is the one under which that symptom will be found, never
under the point to which it extends.
As is well known to older practioners, the method of
working out a case from generals to particulars is the most satisfactory.
If a case is worked out merely from particulars it is more than probable
that the remedy will not be seen, and frequent failure will be the result.
This is due to the fact that the particular directions in which the
remedies in the general rubric tend have not yet been observed, and thus to
depend upon a small group of remedies relating to some particular symptom
is to shut out other remedies which may have that symptom, although not yet
observed. By working in the other direction, however, i.e., from general
to particular, the general rubric will include all remedies that are
related to the symptoms, and, if after having done this the particulars
are then gone into and the remedy which runs through the general rubrics is
found to have the particular symptoms, this will aid in its choice as the
one to be prescribed. One object, then, of this Repertory has been to
assist in obtaining good general groups of remedies, and by general groups
and rubrics it is not to be understood as the general of the remedies. When
pathological names are used, only the leading remedies in the condition
referred to will be found in the rubric.
To those who have used Bnninghausen's "Therapeutic
Pocket Book" the working out of cases from generals is a familiar method.
But for the benefit of the younger men the following suggestions are
offered which may prove helpful: After taking the case according to the
lines laid down in the "Organon" (§§ 83-140),
write out all the mental symptoms and all symptoms and conditions
predicated of the patient himself and search the Repertory for symptoms
that correspond to these. Then search for such physical symptoms as are
predicated of the blood, colour of discharge, and bodily aggravation and
amelioration that include the whole being, as well as desire for open air,
desire for heat, cold air, for rest, for motion which may be only a desire
or may bring a general feeling of amelioration. It should be understood
that a circumstance that makes the whole being feel better or worse is of
much greater importance than when the same circumstance only affects the
painful part, and these are often quite opposite. Then individualize still
further, using the symptoms predicated of the organs, functions and
sensations, always giving an important place to the time of occurence of
every symptom until every detail has been examined. Then examine the
symptom picture collectively and individually, and lastly study the Materia
Medica of such remedy or remedies as run through the symptoms of the case
until there is no doubt
about which is the most similar of all remedies.
* * * | |