| How to Study the Repertory James T. Kent
After all the symptoms of a patient have been written
out the Repertory should be taken up. The beginner should not attempt to
abbreviate the anemnesis, but should write out the full general rubric for
exercise, if nothing more. If melancholy be the word, the remedies set to
the word should be written down with all the graduations. If the melancholy
appear only before the menses let a sub-rubric be placed in a manner to
show at a glance the number of remedies of the general class having the
special period of aggravation. Many of the most brilliant cures are made
from the general rubric when the special does not help, and, in careful
notes of ten years, would bring down many of the general rubric symptoms,
and furnish the best of clinical verifications. The longer this is done the
more can the busy doctor abbreviate his case-notes.
The special aggravation is a great help, but such
observations are often wanting, and the general rubric must be pressed into
service.
Again, we have to work by analogy. In this method
Bnninghausen's "Pocket Repertory" is of the greatest service.
Take Minton's most excellent work, and we find menstrual
agonies are ameliorated by heat, peculiar to Ars. and Nux., and by moist
heat, to Nux-m. But the symptoms of one case are not like either of these
remedies, and we must go farther into the Materia Medica. We can there form
the anemnesis by analogy and make use of the general rubric, taking all the
remedies known to be generally ameliorated by heat and warmth applied.
To be methodical, the general rubric should appear in
the notes of the prescriber and the special below it. If this plan be
carefully carried out, a comparison of ten years' work be a most
instructive perusal. What is true of a remedy generally may often be true
in particular, especially so in the absence of a contra-indicating
exception, well established.
If this plan be followed by beginners, always reading up
the Materia Medica with the anemnesis, by the time business becomes
plenty the work becomes easy and rapid. A young man can prescribe for a few
patients a day and make careful homopathic cures, and he can gain
speed enough to prescribe for twenty or thirty a day after a few years.
Any man who desires to avoid this careful method should not pretend to
be a homopathic physician, as the right way is not in him, as the
desire
must precede the act.
The patient does not always express the symptom in the
language that would best indicate the real nature of the symptom. Then it
is that judgment is required, that the physician may gain a correct
appreciation of the symptoms. So often is this true that the young man and
often the old are led from the true expressions of nature, and he will make
an inappropriate prescription. The task of taking symptoms is often a most
difficult one. It is sometimes possible to abbreviate the anemnesis by
selecting one symptom that is very peculiar, containing the key to the case.
A young man cannot often detect this peculiarity, and he should seldom
attempt it. It is often convenient to abbreviate by taking a group of three
or four essentials in a given case, making a summary of these, and
eliminating all remedies not found in all the essential symptoms. A man
with considerable experience may cut short the work in this way.
I have frequently known young men to mistake a modality
for a symptom. This is fatal to a correct result. The symptom is the
sensation or condition, and the modality is only a modification. The
symptom often becomes peculiar or characteristic through its
modality.When a sensation is looked up in the Repertory, all the remedies
belonging to it should be written out, and individualization began
by modalities.
I am frequently asked what is understood by peculiar as
applied to a case. A little thought should lead each man to the
solution.
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.
"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 it seems impossible to find judge or jury before whom to
arraign the first law-breaker.
The cry for liberty has been a grievous error, as
liberty is and has been most shamefully abused. It means a license to
violate law, and only a modest elasticity is necessary and full eclecticism
is the product. It is liberty that has driven out of use, or limited the
use, of the Repertory that all the old healers so much consulted. If
Bnninghausen used a Repertory with the limited remedies there proved,
how much more do we need to consult it.
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