| Use of the Repertory James T. Kent
As Homoeopathy 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.
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
chatacteristics, 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.
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:
Firstare those relating to the loves and hates, or
desires and aversions.
Nextare those belonging to the rational mind,
so-called intellectual mind.
Thirdlythose belonging to the memory.
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 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.
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 or summary; these symptoms, relating to the whole patient,
cannot he 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.
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.
Next must be used the modalities of the parts affected,
and frequently these will be found to be the very opposite of the
modalities of the patient himself. A patient who craves heat for himself,
generally, and for his body, may require cold to his head, to his stomach,
or to the inflamed parts, hence the same rubric will not fit him and his
parts. Hence to generalize by modalities of isolated particulars
leads to the incorrect remedy or confounds values placed upon certain
remedies.
There are strange and rare symptoms, even in parts of
the body, which the experienced physician learns are so guiding that they
must be ranked in the higher and first classes.
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 percieved 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."
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 canried 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.
* * * | |