BTPB Repertory
BTPB Repertory
BTPB Repertory
com
Contents:
Part I
Preface
Life History of Boenninghausen
Introduction
Repertory Uses
The art of physician in taking the case
The philosophic Background
Construction of the Repertory
Introduction to different Chapters
– Mind and intellect
– Parts of the Body and Organs
– Sensations and complaints
– Sleep and Dreams
– Fever
– Alterations of State of Health
– Relationships of Remedies
Limitations of Repertory
Use of the Analysis
Preface to the New American Edition
Boenninghausen’s Original Preface
Part II
Repertory Proper
Index
Part. I
Preface by Dr. T.F. Allen
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In the preface Dr. T.F. Allen says that his aim is to demonstrate the sound philosophy and practical application of
this work to such state as the physician meets in everyday practice. He admits that the book is not perfect but
the principles upon which it is based are sound and will allow further expansion without distorting the basic
principles.
Uses of repertory
Definition: Repertory is an index of symptoms arranged systematically. The system of arrangement may be
founded upon certain definite guiding principles, or it may be alphabetical or schematic.
Uses:
1. To serve as a reference or a guide in looking up a particular symptom that may indicate the similimum or that
may make necessary distinction between two or more similar remedies in a given case.
2. For careful study of all the symptoms that may appear in a c/c case.
A repertory is not meant for those cases in which there is clear indication for the similimum.
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This is called the doctrine of Analogy. He also discovered that, condition of aggravation or amelioration are not
confined to a particular symptom, but they are like the red thread in the cordage of the British Navy, are
applicable to all symptoms of the case. So he raised them (i.e. Particulars) to the level of Generals – It is called the
doctrine of grand generalisation. It is the patient who is sick, not his head, nor his eyes nor his heart. Every
symptom that refers to a part may be predicated of the whole man.The symptoms of disease are offen broken up
and scattered through different parts of a patient. These scattered parts must be found and brought together in
harmonious relation according to a typical form. This complete picture of the disease will give the totality.
Boenninghausen has designed his pocket book in such a way that, it would enable the physician to bring the
symptoms together and complete one part by another.
Primary symptoms: Symptoms which seemed to have a direct bearing on the complaint.
Secondary symptoms : They belong to the class of concomitants.
Typical symptom : Common symptom or disease symptoms
Atypical symptoms :Symptoms, which belong to the individual. They are theconcomitants of disease
symptoms.
Philosophic background
It was with the encouragement of Hahnemann, that Boenninghausen developed his first repertory:- Repertory of
Antipsorics (1832). In 1835 he
published Repertory of medicines which are not Antipsoric, in 1836 Attempt at showing the relative kinship of
Homeopathic medicines and in
1846 he published, Therapeutic manual for Homoeopahtic physicians.
BTP is a combination of all these four books. The original book was written in German, it was first translated by
one most eminent
Homoeopathic physician. This translation was not practical. Later Alien made an edition; which suffered from
faulty translation. Lastly in 1935 this Book was edited by Dr. H.A. Robert and Annie C. Wilson. Boenninghausen
emphasized more on completing the symptom with all their components; i.e.
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Location
Which includes parts, organs, tissues, systems as well as directions and extensions.
Sensation
Kind of pain, suffering and complaints, and also functional or organic changes characterising the morbid process.
Modality
This includes conditions of aggravation or ameliorations. Factors which cause, excite, increase or decrease or
modify a symptom are
included in the modality.
Concomitant
Symptoms appear and disappear with the main complaints; but they does not have any pathological relationship
with the main complaints.
Doctrine of concomitant
Boenninghausen, identified in each case a group of symptoms along with the main complaint; such symptoms
were generally overlooked by the patient, and un noticed by the physician. He emphasized that, in all cases such
a group of symptoms does exist, and they are missed, because of inadequate observation. They appear to be
unrelated to the main complaint; but are quite crucial in individualizing the case as well as the remedy.
Evaluation of remedies
Boenninghausen was the first to grade the remedies. He noticed that there is difference in the frequency and
intensity in the appearance of symptoms in provers. He graded the remedies into 5 grades – or marks.
He used different typography to represent these different grades of remedies.
CAPITAL to represent
1st Grade (5 marks)
Proved (Recorded)
Reproved (confirmed)
Clinically verified.
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Bold to represent
2nd Grade (4 marks) Proved (less than the1st grade)
Reproved
(Confirmed) occasionally
Verified.
Italics to reprent
IIIrd Grade (3 marks)
Now and then a prover brings out symptom,
Not confirmed.
But verified
Clinically verified.
Roman to represent
IVth Grade ( 2 marks)
Only clinically verified
Concordances
He discusses the relationship of remedies; under headings – mind,locality, sensation, glands, bones skin, sleep and
dreams, blood, circulation, fever, aggravation, other remedies, antidotes and inimical. Other remedies covers all
the symptoms, which do not full into such regulars groups
1. Sensations — In general
2. Sensations — Glands
3. Sensations — Bones
4. Sensations — Skin
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Misplaced rubrics
Unconsciousness – this should have been given under sensations chapter.
Vertigo – there is no separate chapter. Since it is a sensation it should have bee given under “ sensation” chapter.
Though he has given emphasis to the Concomitants in case taking, the concomitants of mental symptoms are
given under a single rubric “ Drugs which have concomitants of Mental Symptoms.”
Part 2
Parts of the body and organs
This section of the book follows in general the anatomical schema used by Hahnemann. T.F. Allen added many of
the rubrics in the eye section. He also used an idea of combining Boenninghausen’s Repertory of the Sides of the
Body with the original Pocket Book. This section on the parts of the body runs from page 24 to page 142,
beginning with Chapter Internal Head and ending with Lower Extremities.
1. Internal Head:
The chapter begins with rubric- “ In general”.
Next different portions of head are given as rubrics- as
Forehead
Temples
Sides of head
Vertex
Occiput
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2. External Head:
Rubrics
Hair
Scalp
Skull
Beard
Margins of hair
The first two rubrics should have been given in the chapter “sensations” and the third one in the “ear” chapter.
The chapter “External Head” ends in the page number 29, in which the Chapter “ Internal Head” again begins.
This contains only two rubrics – “Left side and Right side.” The Chapter “External Head” is seen again with same
rubrics in the page 30 where the second Chapter on “Internal Head” ends.
3. Eyes:
It contains rubrics like
Aqueous humor
Eye balls
Choroid
Conjunctiva
Cornea
Lachrymal apparatus
Lens (Cataract)
Optic nerve
Retina
White of eye (sclerotic)
Brows
Canthi
Lids
Orbits
Sides- left and right
Misplaced rubrics:
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Adhesions in pupils
Pupils Dilated
Pupils Immovable
Lachrymation
Squinting
Staring
4. Vision:
Here Boenninghausen is deviated from his original Philosophy. “ Vision” which is a Sensation is given as a
separate chapter among the parts of the body.
All the rubrics in this chapter and the Chapter as such can be considered as Misplaced.
Main rubrics in this Chapter include:
Blindness
Flickering
Double
Half vision
Muscae Volitantes
Dim
Far-sighted
Paralysis of Optic Nerve
Photophobia
Short –sighted
5. Ears:
This includes rubrics like;
External
Internal
Middle ear ( confounded with Internal)
Eustachian Tube
Lobules
Misplaced rubrics:
a) Parotid Glands- this might have been given under the Chapter Face
b) Discharges from Ears –
c) Ear-wax-
The last two rubrics might have been given under the Chapter Sensations according to the Philosophy of
Boenninghausen.
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6. Hearing :
It include rubrics like:
Acute
Hardness
Loss of Hearing ( from Paralysis of Auditory Nerve)
Stopped Feeling ; etc
The Chapter along with its rubrics are out of place in the “Parts of the Body”. They should have been given under
the “Sensations”.
7. Nose:
External
Internal
Bones
Root
Septum
Wings , etc are the main rubrics concerning the nose. But this Chapter contains many rubrics concerned
with the sensations and complaints. They are
Nose bleed
Nasal catarrh
Stopped Coryza
Nasal Discharges
Sneezing
Ineffectual efforts to sneeze
The Chapter ends with Concomitants that are condensed into a single rubric – “Accompanying Symptoms of
Nasal Discharges” and sides of nose “ Left side and Right side”
8.Smell:
This include rubrics
Sensitive
Weak or Lost
Illusions of Smell in General
The Chapter along with its rubrics should have been in Sensation Chapter.
9. Face:
The objective symptom that may be observed in the face is given first. Followed by locations of sensations.
The important rubrics include:
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Color- pale
Circumscribed Redness of Cheeks
Comedones
Drawn
Emaciation
Expression Altered
Eyes protruding
Eyes- Sunken
Freckles
Open mouth
Wrinkles – On forehead
The typography of Locations of sensations are given as a separate Chapter this may create confusion among the
users.
This include
Forehead
Temples
Malar bones
Cheek
Upper Jaw
Lower jaw
Articulation of Jaws
Lips
Corners of lips
Chin
10. Teeth:
It begins with “Toothache in General”
Followed by different types of tooth namely,
Incisors
Eye teeth = Canine teeth
Molars
Gums ( in Kent gums are given under Mouth Chapter )
Misplaced rubrics:
Hollow teeth = Caries of teeth
Teeth- Grinding
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11. Mouth:
Misplaced rubrics include ( it should have been included under Sensations)
12. Throat:
It include only the internal throat
Tonsils are given under throat
15. Taste:
This include rubrics like
Altered in General
Acid
Bitter
Metallic
Nauseous
Salty
Sweetish
Lost
Taste being a special sensation; it along with its rubrics should be given in the Sensation Chapter.
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16. Eructation’s:
Belching
Hiccough
Uprisings
Waterbrash
Etc are given in this Chapter. The chapter as well as its rubrics is misplaced.
20. Abdomen :
The sides of Abdomen are mentioned in this separate Chapter which appears on the page number 81.
23. Flatulence:
Flatulence in General
Borborygmi
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Incarceration of Flatus
Are given in this Misplaced Chapter
24. Stool:
This chapter contains the following misplaced rubrics
Diarrhoea
Constipation
Worms
Round worms
Tape worms
Thread worms
Tenesmus
Anus
Haemorrhoids
Rectum
Perineum
26. Urine:
Glycosuria can be taken for Diabetes Mellitus
Sediment in general can be used for urinary calculi
27. Micturition:
Tenesmus of bladder
Dysuria
Involuntary
Retention of urine etc are some important misplaced rubrics
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29. Menstruation
The chapter as well as the rubrics are out of place in this Main Chapter Parts of the body. The main rubrics include
Abortion
Menstruation Beginning , Delayed in Girls
-profuse
-scanty
-short
-suppressed
Menses clotted
-Membranous
30. Leucorrhoea:
Various types of leucorrhoea and Accompanying Troubles of Leucorrhoea are given in this chapter.
31. Respiration:
It include important rubrics like
Arrested
Catching
Irregular
Oppressed
Rattling
Sighing
Suffocative Attacks
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32. Cough:
There is no separate chapter for Expectoration hence rubrics concerned with the Expectoration are given in this
chapter. Chapter also include concomitant of cough which is given as last rubric – Troubles Associated with
Cough.
33. Air-Passages:
It includes
Larynx &
Trachea
Some misplaced rubrics are found in this chapter
Secretion of Mucus
Voice not Clear
-Hoarse
-Lost
-Toneless
36. Chest:
Misplaced rubrics include
Palpitation
Heart’s action intermittent
– Tremulous
Milk Bad
– Increased
– Diminished
37. Back:
Scapulae
Dorsal region
Lumbar and sacral region
Coccyx
And finally sides
– Left and Right are given
Part 3 Sensations:
It include rubrics related to various Complaints also, hence Boger has renamed this chapter as Sensations and
Complaints in General.
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Glands:
The main rubrics include ;
Atrophy
Indurations
Inflammation
Injuries
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Swelling
– like knotted cords
Suppuration
Ulcers
-cancerous
Bones:
It includes the following important rubrics
Healing of Broken Bones
Inflammation
Caries
-of periosteum
Necrosis
Softening
Skin:
Blood Sweating
Chilblains
Color, Yellow
Corns
– Horny
– Sensitive
Desquamation
Eruptions
– Carbuncles
– Chicken Pox
– Furuncle
– Itch ( Scabies)
– Suppressed
– With Maggots
– Measles
– Pimples
– Small-Pox
– Zoster
– Condylomata
– Cysts,Sebaceous
Extravasations
Gangrene
Hair of Head Falls Out
– Beard
– Moustache
Nails , Brittle
Sore , Becomes ( Decubitus)
Stings of Insects
Tetter in General (herpetic)
– Ring Worm
Ulcers, Varicose
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Wounds in General
– Old Wounds Break Out
Part 4 Sleep:
This chapter include sleep in general , positions during sleep, and dreams. The last two are given as separate
chapters.
Important rubrics to note are;
Yawning
Sleep Comatose
Sleep Somnambulistic
Sleep Unrefreshing
Symptoms Causing Sleeplessness
Dreams Pleasant, of Gold ( this should be interpreted as dreams of
money)
Dreams of Love ( = dreams Amorous)
Part 5 Fever
From the page 250 to 252 the top heading is circulation, from page 253 it is changed to Fever.
This chapter includes
Circulation
Chilliness in general
Heat
Coldness in general
Shivering in general
Sweat in general
Compound Fevers in General
Though Circulation is given as a separate chapter it is included under the Fever Chapter. The old Edition contain
these seven sub- sections.
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Closing Eyes
Cloudy weather
Clutching anything
Coition during & after
Cold in General
Combing hair
Drinkers, for Hard ( old Topers)
Driving in a Wagon
Eructation
Eruptions after Suppression of
Excitement, Emotional
– contradiction
– fright
– grief and sorrow
– Mortification
– Vexation
Exertion, Mental
– physical
Exertion of Vision
Fasting
Food and Drink
– alcoholic stimulants in general
– beans and peas
– farinaceous
– milk
– tobacco
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Pregnancy
Pressure of clothes
Rest
Rising Up
Room Full of People
Sexual Excesses
Shaving
Sitting, when
Sleep, before
– At the Beginning of
– During
– After
Smoke
Society
Squatting down
Stone Cutters, for
Stooping
Stranger, when among
Sun, in The
Swallowing
Sweat, During
– After
– Suppression of
Talking
Touch
Uncovering
Vertigo During
Vomiting
Warmth in General
Water (and Washing)
Wet applications
Wet, getting
Wet Weather
Wind
Women, For
Writing
Yawning
Amelioration:
Important rubrics to be referred are
Attention paying
Carrying the child in the arms
Crossing Limbs
Exerting Mind
Fasting (Before Breakfast)
Flatulent Emissions
Haemorrhage
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Inspiration
Loosening Clothes
Mesmerism
Motion of Affected Parts
Scratching
Sleep During & After
Swallowing
Walking in Open air
Some rubrics does not contain medicines, their reference is given in brackets. They are asked to refer in the
Aggravation chapter- among the rubrics with opposite meaning.
For example;
Cloudy Weather (see Agg. Clear Weather)
Cold, in the (see Agg. Warmth in General)
Damp Weather (See Agg. Dry Weather)
Food and drinks, Hot (see Agg. Food and Drinks, Cold)
Hang Down, Letting Limbs (See Agg. Raising Affected Limbs)
Silence (see Agg. Noise)
Society (See Agg. Alone, When)
Warm (see Agg. Cold, Becoming)
Method of working
When the indicated medicine has helped a little and when there is no further improvement this section can be
referred to find out a close medicine which would help the patient.
Under that medicine( first prescription) refer the sub-heading which could be the main complaint of the patient
and use it as first rubric. Next take the Mind and all other sub headings one after another. The first rubric can
taken as an eliminating rubric. Those medicines with higher marks (3,4,5 marks) are taken for further
repertorisation.
If it is a case of tonsillitis –‘ Glands’ are taken as the first rubric. Subsequent rubrics are referred. After
examination process the medicine with maximum number of marks are selected as second prescription.
Advantage of TPB
1. It is based upon the concept of complete symptom- location, sensation, modality, and concomitant.
2. It follows more or less an anatomical schema which is helpful for finding the rubrics.
3. By applying the ‘Doctrine of analogy’ rubric can be completed, even though there is lack of any of the four
parts of the symptom.
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Disadvantage of BTPB
1. It deals with only 342 remedies. Boenninghausen’s original edition contained 126 remedies. Allen dropped
4 remedies ( Angustra, Magnetis Polus Articus, Magnetis Polus Australius, Magnetis Poli Umbo) and added
220 remedies.
2. The rubrics given in the book are not many in number.
3. Many of the rubrics lack important medicines-desire for salt – Natrum mur is not mentioned.
4. Mind section contains only 18 rubrics under ‘mind’ and 17 rubrics under intellect. These rubrics are too
general and can only be used as reference.
5. The concept that a symptom that refers to a part may be predicated of the whole man (Doctrine of
analogy) is not correct under many circumstances.
6. Though prime importance is given to the concomitants there is no separate chapter for them.
7. Even though this book has undergone many modifications and editions there are many defects in the
construction and compilation.
8. – Internal head ends on page 26 , again starts on page 29.
9. – External head ends on page 29 , again starts on page 30.
10. Rubrics that might have been placed under ‘ sensations’ are given under ‘parts of the body’- Toothache
under teeth, stopped feeling in ears.
11. There is no fixed arrangements of rubrics.
12. The relationship section deals with only 141 remedies.
13. There are many misplaced rubrics- Vertigo-is given in intellect,Perineum is given in chapter stool
14. Different sensations are given specifically , but in practice many patients do not specify their sensations.
15. This book lacks information about Sarcodes and Nosodes.
Dr P Sumesh
Medical Officer, Departemnt of Homoeopathy
Govt. of Kerala
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