Repertory is Not a Final Authority for Prescription Purpose
- As we know that :
Person → natural dse → H.Med symp → Artificial medi. dse
- Repertorization
After repertorization we will get the group of remedies
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But for choosing the final Prescription i.e. Simillimum we need knowledge of Materia Medica.
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Repertorization is more mechanical process rather than logical process. So by mechanical & technical way we will get a small group of symptoms & not the Simillimum.
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We can say that it is limitation of Repertory We can't reach to similimum by this only So Repertory is not final authority for prescription purpose.
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For the purpose of repertorization , the totality selected is essentially based on 3 fundamental principles that is of Boger , Kent & Boenninghausen.
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Sometimes the rubrics so found as per this repertorial totality are present only in Repertory & not in materia medica.
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The symptoms which still remain after deducting the repertorial totality from the conceptual image (Tot) of the case is called Potential Differential Field.
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These symptoms are then correlated with the knowledge of materia medica which is Drot Found in repertory that confirms our choice of prescription in a particular case.
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Sometimes repertory cannot guide the physician to perceive a strong miasmatic block.
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Father of Repertory , Boenninghausen , says that A man should not content himself with the repertories without having knowledge and careful reading up of the fountain (sources) i.e. Materia Medica.
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A man who is thus satisfied with the vague hints of a repertory in selection of a remedy without knowledge of MM , gets through with sore pt & pt of these , is scattered a quick & will have to give a new remedy every minute.
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Materia Medica is like an ocean full of Pearls which cannot be reached at without a suitable device.
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The repertory works as a suitable device to pick up the right pearl at the right time.
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So it is said that Repertory is mean to an end , but never an end in itself – Repertory finally gives a small group of remedies with a diff. grades but 0 never suggest a final choice of prescription.
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The remedy gets the highest mark , is not necessarily the final remedy in all cases . Repertory results should be finally referred to in the court of MM.
Additional Keypoints Added for Completeness
- Repertory eliminates dissimilar remedies and narrows down to a small group, but the final selection of simillimum always requires confirmation through pure Materia Medica study.
- Over-reliance on repertory without deep MM knowledge leads to frequent remedy changes and poor case management.
- The "Potential Differential Field" highlights unique patient characteristics not covered in repertory rubrics, essential for individualization.