Two thoughts on Rubrics and use of….

One of the biggest issues in repertorization, is finding the correct rubrics for consideration. At first glance, one might assume that this is not as difficult as it appears, and yet the experienced practitioner will tell you it takes quite a while to learn the correct understanding of rubrics given that language and meaning of the words have changed over the years.

Vladimir and myself spent many hours in discussion over each and every rubric in the Therapeutic Pocket book. Working from the original Boenninghausen manuscripts and the first edition in German, we carefully went through every word and phrase with the aid of several German language dictionaries and medical books of the time period, so that we could determine the true intent of the words used by Boenninghausen and not confuse them with our modern understanding of the words today.

This process, which took nearly two years to do, resulted in a completed facsimili of the original German work, translated into English, Spanish and shortly Hebrew. It was not our intention with the 2011 version (which was actually released in 2010) to alter the layout or methodology of use of the repertory. By leaving the structure intact, it allowed us to insert the complete table of Concordances for assistance in finding the next remedy for prescription.

Use of the P and W Therapeutic Pocket Book in practice.

Boenninghausen compiled the Therapeutic Pocket book as a memory guide to the Materia Medica. It is a collection of symptoms which have been disassembled into their component parts, and placed in the relevant chapters of the book for re-assembling according to the symptoms expressed by the patient. In utilising this schema, Boenninghausen allowed for an analysis of a case to be made quickly, without having to wade through section after section to select a specific rubric that included all the aspects of a symptom. (such as Kents repertory).

Take for example a patient complaining of a headache. This headache always appears on one side or the other. The headache is of a throbbing nature. It comes on after drinking milk or alcohol. If the patient gets angry the headache appears. If the patient touchs anything cold, the headache can appear, although lighter than any of the other causations.

Using the P and W, we can go straight into the individual elements of the case.

Under sensations and complaints, in inner parts (head pain is inner) we choose Throbbing.

Under Aggravations we choose Milk, Alcohol and Anger.

Under aggravations we also choose touching cold object.

For the location, we can pick inner head, one sided.

 

 

 

Immediately from the repertorization chart, we can see that the combination of the elements of a SINGLE SYMPTOM with location, sensation and modalities, have defined the whole disease state of the patient, which are produced in PROVINGS of the medicine Natrum Muriaticum. If we read the Materia Medica, confirmation of the remedy being the correct one or not can be made. In this case, a long standing concommitant symptom confirmed the choice.

You may ask, why one Symptom when the patient is a complex collection of desires, thoughts, hereditary paths of weaknesses etc. Actually, it again comes back to Hahnemanns observations of what we treat, and in what order, and Why.  Again, for consideration, I point out to you Aphorism 6 of the Organon:

The unprejudiced observer – well aware of the futility of transcendental speculations which can receive no confirmation from experience – be his powers of penetration ever so great, takes note of nothing in every individual disease, except the changes in the health of the body and of the mind (morbid phenomena, accidents, symptoms) which can be perceived externally by means of the senses; that is to say, he notices only the deviations from the former healthy state of the now diseased individual, which are felt by the patient himself, remarked by those around him and observed by the physician. All these perceptible signs represent the disease in its whole extent, that is, together they form the true and only conceivable portrait of the disease.

As this single presenting and predominating headache, in its entirety, and its completeness represented the dis-ease that the patient was suffering, the sum total of the elements IS the problem. By treating the symptoms of the disorder, given no other presenting symptoms, and removing the whole disorder, we have allowed the organism to be healed of the problem. These are the ONLY SYMPTOMS we can treat as that is all that is presented. The expression of them through the patient, agg by milk, touching cold objects, anger and alcohol, are individual triggers that combine to form a picture of both the disease AND the remedy which can produce those symptoms.

Do not be misled by investigating everything about the patient that is of no value in terms of prescribing for the diseased state. Do not prescribe on anything except ACCURATE PRESCRIBING SYMPTOMS,. or else you will be confused by personality, likes, dislikes, something that happened 40 years ago that is not relevant today.

We treat diseased patients.

Dr Gary Weaver

 

 

2 responses to “Two thoughts on Rubrics and use of….

  1. I’ve got used to thinking this way from studying G Dimitriadis’ books and had some good successes in such definite diseases as polymyalgia rheumatica where previously the results were not very good.
    But how does one treat the symptomless hypertensive? Sometimes the patient can say what raised the bp, eg, time, emotions, but not always.

    • Hi Richard.
      If its symptomless, you cant use it for prescribing.

      You can however completely combine prescribing elements of the problem to make a completed symptom, and in this way begin to treat the patient. The patient exhibits symptoms of his expression of disorder which ARE there. We should look for these.

      Gary

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

This site uses Akismet to reduce spam. Learn how your comment data is processed.