Post by Guillermo on Feb 17, 2020 19:32:51 GMT 1
Author: Dr. José Guillermo Zamora De La Paz M.D. UAG, Dhom. Med. (Lic.) Institute for Homoeopathic Medicine.
As the second part of the Therapeutic Pocket Book title tells us "A Guide to the Materia Medica", the repertoire is that. It is a work, a synopsis, to memorize the symptoms of the Materia Medica, represented for each of the rubrics in the context of a pathogenesis that must have been previously studied and re-studied so that the practitioner can know what is looking for and what symptom should she/he looks for. Even in the absence of deep knowledge, this tool can be used to learn this MM, and even to make an analysis, although from my point of view with less efficiency.
Please check the ID number rubrics out
2270;2272;2273;2461;2520;2464;2465;2458;2210;2459;
Thus, if, for example, we have in perspective the context of pathogenesis, we can find what the associated correspondence for the rubric is. From the translation of the rubric in German " Nach Erkältung ", which in English is translated as "Catching Cold ", and in Spanish as "after cold" (Nach = After, Erkältung = Cold), it is not difficult to differentiate between it and the rubric “Aggravation Becoming Cold”.
In the writing of the provings and from my own practice I have found that the first rubric " Aggravation, Catching Cold" is used more specifically for causation and aggravation factors in relation to the fact of becoming ill after being exposed to a cold climate (such as it could be by "being bared", "uncovering the head" or "stepping barefoot") with a reaction of thermoregulation, sometimes by releasing heat manifested in immediate tremor of variable duration; while the second rubric “ Aggravation Becoming Cold ”, being clearer, gives me more for remedies that in their pathogenesis modalize when making contact for a more or less prolonged time with something cold (weather, submersion in cold water, surface, freezer, room , wet clothes in cold weather, etc.), and at the same time that the body or a part of it becomes cold , this causes the symptoms to be triggered or aggravated.
Of course, although there is a modification, when the literal translation of the German is considered " after cold " ( Catching Cold ), which has a completely different meaning in English, when the letter " a " is previously placed to the word "cold ”, i.e.,“ Catching a Cold ” which means “ to get sick with the flu ”or as we commonly say in Mexico“ to get the flu, cold, or grippe”, so I have not left out of the rubric “ Aggravation, Catching Cold ” those symptoms that have aggravated or appeared since the patient became ill with the flu (or cold).
There are some repertoires, which have simply merged (combined) seemingly similar rubrics like these, although the truth is that I would not be brave enough to do something like that. *
* OpenRep SYNOPSIS offers this alternative to merge or combine rubrics momentarily during analysis.
Examples of cold symptoms:
CD Carb-V 465. Bellyache, as after catching cold; it is aggravated before the passage of flatus, and continues even afterward.
CD Nat-C 661 - Dry cough with stuffed coryza, after catching a cold.
MMP NUX-V, Introduction: Serious ailments from catching cold are often removed by it.
MMP NUX-V 460.- Bellyache in the open air, as from catching cold.
CD Silicea 256 Heat and burning in the face, after washing it with cool water; for two hours.
CD Petrol 358 Pain in the abdomen, as from catching a cold. *
* In English, this Petroleum symptom appears “as for catching a cold”, i.e., “as for catching a cold, getting a flu, or having a grippe”, and it´s included both in the rubric “Aggravation, Catching Cold” with grade 1, and the rubric “Aggravation Becoming Cold” with grade 2. The reason why Boenninghausen includes remedies in both rubrics is explained at the end of the article, but in summary it has to do with its own findings and verification during his clinical practice. However, this should not lead us astray from choosing the appropriate rubric for each case, since we can see that the 1st rubric lacks 25 remedies contained in the 2nd, and the 2nd lacks 18 remedies contained in the 1st; while most of the remedies that coincide in both rubrics, are graduated with different value. ”
Examples of Becoming Cold symptoms. ("Beim Kaltwerden" in German)
CD Aurum S. 422 - Very sensitive to cold in the whole body.
MMP Moschus S.134 When he went out into the open, not cold, air it felt cold to him, and he sought the heat of the stove (aft. 1.1/2 h.). [Gss.]
CD Zincum 1256 - The whole day, general exhaustion, sleepiness, aversion to all noise, and yet hardness of hearing, dreaminess, as after night-watching, with shuddering and cold chills running over the body, as after taking cold after perspiring.
MMP Spig 573 He is very sensitive to cool air. [Bch.]
MMP Camp 299 He is over sensitive to cold air.
CD Graph, introduction: ... mucus from the nose; daily coryza, when becoming cold...
MMP Magnes 220.- While remaining in a cold place there occurs a tearing twitching in the muscles of the arm.
MMP NUX-V 928 By the contact of cold air, shooting in the calf as if the leg had been sleep (aft. 2 h.).
We must understand that the contexts of pathogenesis are described about climates that are very different from the climates that we handle here in Mexico and some other Latin American latitudes. Perhaps for who is living in Toluca city, Estado de México or La Rosilla Durango, Mexico, the cold will be something very similar to what is lived in Germany; however, most Mexicans will feel extreme cold being there. For this reason, it is that the utility and pathogenetic correspondence that I find for the rubric “Aggravation, Cold Air” is simply for causalities and modalities of aggravation in cold weather (including, by common sense, those cold artificial climates that are created though air conditioning systems).
It is not difficult to establish parameters for the other symptoms in the repertoire, since they offer the specific location for their aggravation before exposure to cold; in the same way that it is known that Silicea becomes ill during and after becoming cold its feet, and that in Belladonna the same thing happens by washing the head with cold water; in cases where the location that becomes cold is specific, and whose coldness generates or complicates the symptoms; the rubric " Aggravation Becoming Cold Part of the Body " should be taken. For example:
MMP Puls 203 Toothache, which commenced about 2 a.m., did not allow him to lay the head on a cold part of the bed; a shooting digging first in the teeth of the lower jaw then in those of the upper jaw, from the root of one tooth into another, which recurred at noon when eating.
MMP Hepar 151 When the smallest member becomes cool, there immediately occurs a cough, as from a chill and oversensitiveness of the nervous system.
CD Silicea 302 - Shooting toothache, which does not allow him to take anything warm or cold into his mouth.
CD Silicea 781 - Severe pressive pain in the right shoulder, extending to the elbow, as soon as the shoulder is bared and becomes cold, chiefly by night.
In patients in whom both drinking cold water, stepping barefoot on the cold ground, exposing themselves to the cold, etc., etc., aggravate or cause their symptoms, i.e., who become ill with various factors associated with cold, I would not hesitate in taking into consideration the rubric " Aggravation Cold in General ". In any case, you can almost always find other combinable symptoms that are shared by a smaller amount of remedies with respect to this type of thermal modality.
It is also not difficult to identify, for whom we have read Hahnemann's provings that the rubric "Aggravation Drawing in Cold Air" is for provings in a context such as the following:
CD Hepar 161 - After drinking anything cold, and after opening the mouth, toothache at once in all the teeth.
MMP NUX-V 244 Sore throat; sore roughness in the fauces, only felt when drawing in cold air and when swallowing
MMP NUX-V 95.- External headache; during cold wind, pain as if the head were sore externally; and yet the part is not painful when touched (aft. 6 h.).
MMP NUX-V 202 Drawing toothache, with at the same time stitches in one row of the teeth, especially when drawing the air in by the open mouth (aft.1/4.h).
MMP NUX-V 206 On breathing deeply (in the open air) pain as if air entered the hollow tooth.
MMP Staph 212 Toothache excited by drawing air into the mouth.
CD Silicea 286 - Toothache, particularly when eating warm food, and when cold air gets into the mouth.
I insist, it is important to consider what pathogenetic context each rubric refers to. If we consider the pathogenetic correspondence that provings have with the symptom "Aggravation, Change of Temperature"; we will realize that this refers to the temperature change from cold to hot on certain remedies. I exemplify with the following summary case of my clinic:
Facial Neuralgia
A 38-year-old female patient, a cook, shows up in January 2012 with a 6-hour evolution that begins about 20 minutes after arriving at work. She gets stitching pain in the right side of the face, which includes upper gums, upper jaw, cheekbones, around the eye on the same side. The pain has become increasingly intense and even makes her dizzy. She feels that it is jumping on the same side of his face and is numb. The pain increases with the noise, when someone speaks to her, when she touches the sore area; she wants to be alone in a room. She tried to sleep but could not do it. She looks restless, desperate, walks in the office, she does not want to sit down. Pain on palpation of the described area. There is no paralysis.
The case has a thermal causal factor (exciting) that is key in the process and from which the analysis begins, and is accompanied by a component modality symptom and a sensation component.
P&W CODE ID: 2663;784;2218
Rx Verbascum Thapsus. 30c (L)
These combined rubrics cover the patient's current condition. Hahnemann's MMP provides us with the necessary information for confirmation of homeopathic diagnosis.
MMP Verb. Symptom 11 Violent, stupefying deep pressure in the right frontal protuberance, on coming from the cold into the warmth. [Gss.]
MMP Symptom 84 Numbness
MPP Symptoms 15, 29, 63, 140, When touched
MMP 1,2 Vertigo
MPP 165 Shivering, tremors, shudders on one side.
In the repertorial analysis of the case you can realize that Arsenicum Album appears with grade 4 for the rubric “Agr. Change of Temperature”, which is true, considering that our knowledge of Materia Medica should lead us to understand that while Arsenicum is a remedy that generally ameliorates by heat, it is not so in the case of the headache it produces; which is "... relieved by applying cold water, but on removing it is much worse than before" (i.e., the headache is ameliorated by the application of cold water, but is aggravated by the change of temperature from cold to heat (temperate). See symptom 118 for Arsenicum in Chronic Diseases. Let us also observe the exception of Ranunculus Bulbosus, which has the highest degree for this modality, but which also has it in vice versa; i.e., on coming from warmth to cold; therefore this remedy will also be found under the rubric " Aggravation when Entering Cold Place " with grade 4. This means that the rubric "Aggravation; when Entering Cold Place”, it has a specific connotation for the situation and circumstance it describes, unlike the rubric for the case presented above.
To conclude on this issue, we must consider the following:
Bönninghausen's forecast and his desire for transparency made him cite the origin of the provings for each of the medicines contained in the SRH, Systematic Alphabetic Repertory of Homeopathic Medicines, in two parts: Repertoire of Antipsoric drugs or SRA of 1832-33 and the Repertoire of non-antipsoric drugs or SRN of 1835, thereby allowing each rubric to be compared with the source proving. Thus, when the TPB was built from its immediate precursor, the SRH, Bönninghausen did not consult the provings again (already presented within SRH). He only needed to convert the information contained in SRH to replace it within the new structure of the TPB. This is undoubtedly the reason why he does not give references in his TPB, but the other reason, more important, is that the entries it contains cannot be found as they are in the provings -They are rather representations of provings, a distillation. The work constitutes the understanding of the characteristic in each medicine by Boenninghausen, completed by analogy, and also validated and weighted by his vast experience. Actually, at that time, Bönninghausen had one of the busiest practices in all of Europe. Therefore, we must invest our time in studying Materia Medica Pura and Chronic Diseases (Medicines), and see the repertoire as what it is; a guide.
As the second part of the Therapeutic Pocket Book title tells us "A Guide to the Materia Medica", the repertoire is that. It is a work, a synopsis, to memorize the symptoms of the Materia Medica, represented for each of the rubrics in the context of a pathogenesis that must have been previously studied and re-studied so that the practitioner can know what is looking for and what symptom should she/he looks for. Even in the absence of deep knowledge, this tool can be used to learn this MM, and even to make an analysis, although from my point of view with less efficiency.
Please check the ID number rubrics out
2270;2272;2273;2461;2520;2464;2465;2458;2210;2459;
Thus, if, for example, we have in perspective the context of pathogenesis, we can find what the associated correspondence for the rubric is. From the translation of the rubric in German " Nach Erkältung ", which in English is translated as "Catching Cold ", and in Spanish as "after cold" (Nach = After, Erkältung = Cold), it is not difficult to differentiate between it and the rubric “Aggravation Becoming Cold”.
In the writing of the provings and from my own practice I have found that the first rubric " Aggravation, Catching Cold" is used more specifically for causation and aggravation factors in relation to the fact of becoming ill after being exposed to a cold climate (such as it could be by "being bared", "uncovering the head" or "stepping barefoot") with a reaction of thermoregulation, sometimes by releasing heat manifested in immediate tremor of variable duration; while the second rubric “ Aggravation Becoming Cold ”, being clearer, gives me more for remedies that in their pathogenesis modalize when making contact for a more or less prolonged time with something cold (weather, submersion in cold water, surface, freezer, room , wet clothes in cold weather, etc.), and at the same time that the body or a part of it becomes cold , this causes the symptoms to be triggered or aggravated.
Of course, although there is a modification, when the literal translation of the German is considered " after cold " ( Catching Cold ), which has a completely different meaning in English, when the letter " a " is previously placed to the word "cold ”, i.e.,“ Catching a Cold ” which means “ to get sick with the flu ”or as we commonly say in Mexico“ to get the flu, cold, or grippe”, so I have not left out of the rubric “ Aggravation, Catching Cold ” those symptoms that have aggravated or appeared since the patient became ill with the flu (or cold).
There are some repertoires, which have simply merged (combined) seemingly similar rubrics like these, although the truth is that I would not be brave enough to do something like that. *
* OpenRep SYNOPSIS offers this alternative to merge or combine rubrics momentarily during analysis.
Examples of cold symptoms:
CD Carb-V 465. Bellyache, as after catching cold; it is aggravated before the passage of flatus, and continues even afterward.
CD Nat-C 661 - Dry cough with stuffed coryza, after catching a cold.
MMP NUX-V, Introduction: Serious ailments from catching cold are often removed by it.
MMP NUX-V 460.- Bellyache in the open air, as from catching cold.
CD Silicea 256 Heat and burning in the face, after washing it with cool water; for two hours.
CD Petrol 358 Pain in the abdomen, as from catching a cold. *
* In English, this Petroleum symptom appears “as for catching a cold”, i.e., “as for catching a cold, getting a flu, or having a grippe”, and it´s included both in the rubric “Aggravation, Catching Cold” with grade 1, and the rubric “Aggravation Becoming Cold” with grade 2. The reason why Boenninghausen includes remedies in both rubrics is explained at the end of the article, but in summary it has to do with its own findings and verification during his clinical practice. However, this should not lead us astray from choosing the appropriate rubric for each case, since we can see that the 1st rubric lacks 25 remedies contained in the 2nd, and the 2nd lacks 18 remedies contained in the 1st; while most of the remedies that coincide in both rubrics, are graduated with different value. ”
Examples of Becoming Cold symptoms. ("Beim Kaltwerden" in German)
CD Aurum S. 422 - Very sensitive to cold in the whole body.
MMP Moschus S.134 When he went out into the open, not cold, air it felt cold to him, and he sought the heat of the stove (aft. 1.1/2 h.). [Gss.]
CD Zincum 1256 - The whole day, general exhaustion, sleepiness, aversion to all noise, and yet hardness of hearing, dreaminess, as after night-watching, with shuddering and cold chills running over the body, as after taking cold after perspiring.
MMP Spig 573 He is very sensitive to cool air. [Bch.]
MMP Camp 299 He is over sensitive to cold air.
CD Graph, introduction: ... mucus from the nose; daily coryza, when becoming cold...
MMP Magnes 220.- While remaining in a cold place there occurs a tearing twitching in the muscles of the arm.
MMP NUX-V 928 By the contact of cold air, shooting in the calf as if the leg had been sleep (aft. 2 h.).
We must understand that the contexts of pathogenesis are described about climates that are very different from the climates that we handle here in Mexico and some other Latin American latitudes. Perhaps for who is living in Toluca city, Estado de México or La Rosilla Durango, Mexico, the cold will be something very similar to what is lived in Germany; however, most Mexicans will feel extreme cold being there. For this reason, it is that the utility and pathogenetic correspondence that I find for the rubric “Aggravation, Cold Air” is simply for causalities and modalities of aggravation in cold weather (including, by common sense, those cold artificial climates that are created though air conditioning systems).
It is not difficult to establish parameters for the other symptoms in the repertoire, since they offer the specific location for their aggravation before exposure to cold; in the same way that it is known that Silicea becomes ill during and after becoming cold its feet, and that in Belladonna the same thing happens by washing the head with cold water; in cases where the location that becomes cold is specific, and whose coldness generates or complicates the symptoms; the rubric " Aggravation Becoming Cold Part of the Body " should be taken. For example:
MMP Puls 203 Toothache, which commenced about 2 a.m., did not allow him to lay the head on a cold part of the bed; a shooting digging first in the teeth of the lower jaw then in those of the upper jaw, from the root of one tooth into another, which recurred at noon when eating.
MMP Hepar 151 When the smallest member becomes cool, there immediately occurs a cough, as from a chill and oversensitiveness of the nervous system.
CD Silicea 302 - Shooting toothache, which does not allow him to take anything warm or cold into his mouth.
CD Silicea 781 - Severe pressive pain in the right shoulder, extending to the elbow, as soon as the shoulder is bared and becomes cold, chiefly by night.
In patients in whom both drinking cold water, stepping barefoot on the cold ground, exposing themselves to the cold, etc., etc., aggravate or cause their symptoms, i.e., who become ill with various factors associated with cold, I would not hesitate in taking into consideration the rubric " Aggravation Cold in General ". In any case, you can almost always find other combinable symptoms that are shared by a smaller amount of remedies with respect to this type of thermal modality.
It is also not difficult to identify, for whom we have read Hahnemann's provings that the rubric "Aggravation Drawing in Cold Air" is for provings in a context such as the following:
CD Hepar 161 - After drinking anything cold, and after opening the mouth, toothache at once in all the teeth.
MMP NUX-V 244 Sore throat; sore roughness in the fauces, only felt when drawing in cold air and when swallowing
MMP NUX-V 95.- External headache; during cold wind, pain as if the head were sore externally; and yet the part is not painful when touched (aft. 6 h.).
MMP NUX-V 202 Drawing toothache, with at the same time stitches in one row of the teeth, especially when drawing the air in by the open mouth (aft.1/4.h).
MMP NUX-V 206 On breathing deeply (in the open air) pain as if air entered the hollow tooth.
MMP Staph 212 Toothache excited by drawing air into the mouth.
CD Silicea 286 - Toothache, particularly when eating warm food, and when cold air gets into the mouth.
I insist, it is important to consider what pathogenetic context each rubric refers to. If we consider the pathogenetic correspondence that provings have with the symptom "Aggravation, Change of Temperature"; we will realize that this refers to the temperature change from cold to hot on certain remedies. I exemplify with the following summary case of my clinic:
Facial Neuralgia
A 38-year-old female patient, a cook, shows up in January 2012 with a 6-hour evolution that begins about 20 minutes after arriving at work. She gets stitching pain in the right side of the face, which includes upper gums, upper jaw, cheekbones, around the eye on the same side. The pain has become increasingly intense and even makes her dizzy. She feels that it is jumping on the same side of his face and is numb. The pain increases with the noise, when someone speaks to her, when she touches the sore area; she wants to be alone in a room. She tried to sleep but could not do it. She looks restless, desperate, walks in the office, she does not want to sit down. Pain on palpation of the described area. There is no paralysis.
The case has a thermal causal factor (exciting) that is key in the process and from which the analysis begins, and is accompanied by a component modality symptom and a sensation component.
P&W CODE ID: 2663;784;2218
Rx Verbascum Thapsus. 30c (L)
These combined rubrics cover the patient's current condition. Hahnemann's MMP provides us with the necessary information for confirmation of homeopathic diagnosis.
MMP Verb. Symptom 11 Violent, stupefying deep pressure in the right frontal protuberance, on coming from the cold into the warmth. [Gss.]
MMP Symptom 84 Numbness
MPP Symptoms 15, 29, 63, 140, When touched
MMP 1,2 Vertigo
MPP 165 Shivering, tremors, shudders on one side.
In the repertorial analysis of the case you can realize that Arsenicum Album appears with grade 4 for the rubric “Agr. Change of Temperature”, which is true, considering that our knowledge of Materia Medica should lead us to understand that while Arsenicum is a remedy that generally ameliorates by heat, it is not so in the case of the headache it produces; which is "... relieved by applying cold water, but on removing it is much worse than before" (i.e., the headache is ameliorated by the application of cold water, but is aggravated by the change of temperature from cold to heat (temperate). See symptom 118 for Arsenicum in Chronic Diseases. Let us also observe the exception of Ranunculus Bulbosus, which has the highest degree for this modality, but which also has it in vice versa; i.e., on coming from warmth to cold; therefore this remedy will also be found under the rubric " Aggravation when Entering Cold Place " with grade 4. This means that the rubric "Aggravation; when Entering Cold Place”, it has a specific connotation for the situation and circumstance it describes, unlike the rubric for the case presented above.
To conclude on this issue, we must consider the following:
Bönninghausen's forecast and his desire for transparency made him cite the origin of the provings for each of the medicines contained in the SRH, Systematic Alphabetic Repertory of Homeopathic Medicines, in two parts: Repertoire of Antipsoric drugs or SRA of 1832-33 and the Repertoire of non-antipsoric drugs or SRN of 1835, thereby allowing each rubric to be compared with the source proving. Thus, when the TPB was built from its immediate precursor, the SRH, Bönninghausen did not consult the provings again (already presented within SRH). He only needed to convert the information contained in SRH to replace it within the new structure of the TPB. This is undoubtedly the reason why he does not give references in his TPB, but the other reason, more important, is that the entries it contains cannot be found as they are in the provings -They are rather representations of provings, a distillation. The work constitutes the understanding of the characteristic in each medicine by Boenninghausen, completed by analogy, and also validated and weighted by his vast experience. Actually, at that time, Bönninghausen had one of the busiest practices in all of Europe. Therefore, we must invest our time in studying Materia Medica Pura and Chronic Diseases (Medicines), and see the repertoire as what it is; a guide.