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Since the
homoeopathic Materia Medica has over 4000 remedies, most of them
with hundreds and some with thousands of symptoms, it is clearly
impossible for the practitioners to remember all the symptoms
and prescribe only on the basis of this knowledge and his
memory.
Therefore, the
prescriber who does not want to fail will take the aid of the
repertory which is a most
useful
and comprehensive aid.
The intelligent use
of the repertory can considerably lighten the work of the
prescriber and also make prescribing more precise.
Hahnemann says
Aphorism - 7
Now, as in a
disease, from which no manifest
exciting or
maintaining cause (causa occasionalis) has to be removed, we
can perceive nothing but the morbid symptoms, it must (regard
being had to the possibility of a miasm, and attention paid to
the accessory circumstance s, See Aph 5) be the symptoms alone
by which the disease demands and points to the remedy suited to
relieve it and, moreover, the totality of these its symptoms, of
this outwardly reflected picture of the internal essence of the
disease,
that is, of the affection of the vital
force, must be the principal, or the sole means, whereby the
disease can make known what remedy it requires……..the only thing
that can determine the choice of most appropriate remedy
…..And thus in a word, the totality of the symptoms must be
principal.
Even in
APHORISM 3 If
the physician clearly perceives what is to be cured in diseases,
that is to say, in every individual case of disease (knowledge
of disease) …………….. PATHOLOGY AS WELL AS CHARACTERISTIC SYMPTOMS
Importance pathology
Rajan Sankaran says in his book
Element
ABNORMAL Sensations
and functions are a more holistic way of describing pathology
than emotions, feelings or delusions, because they pertain to
the whole organism.Pathological sensations are the delusions of
the whole person, and functions are the physical, general or
emotional response. Experience shows that the same basic stuck
sensation and functions run through all levels of the organism.
As such we can use
them to find correlations between the physical, mental,
emotional realms and the invisible dynamic force.Our
prescription is based on symptom-totality, which means the
summation of the characteristic symptoms. We then define the
characteristic symptom as one that characterizes the particular
patient.
Pathology has become
a highly developed science and we are now aware of many minute
tissue changes that occur in diseases. This knowledge can be
utilized and integrated into our system as far as possible to
explain and illustrate our principles and approach.
Again you will
notice that we get nowadays a number of cases where the
pathological aspect predominates. We cannot tell a patient,
"Since you have only pathological symptoms, we can not treat
you". We must be prepared to treat the patient at any stage of
the disease.
This is why Boericke
and Boger, in their books on Materia Medica, have given a number
of pathological indications for various remedies.
Boericke And Boger were not only most successful homoeopaths but
who also had assimilated the principles of Homoeopathy
thoroughly.
Therefore, we must
allow the pendulum to move to the other side and give importance
to pathology at least where other symptoms are not available. If
characteristic symptoms are available don't take pathological
symptoms.
But if
they are not available, do consider the pathological symptoms.
Every clinical symptom reflects some underlying pathology which
may serve as its cause, explanation or concomitant. And a good
physician - as after all every homoeopath should be a complete
physician as well - should know the type and extent of
pathology.
While the findings and
conclusions of modern pathology are accepted in large part by
all schools of medicine, and serve as the common basis of the
therapeutic art, there are enough variations and differences,
particularly in general pathology, arising from contemplation of
the subject from the homœopathic point of view to justify the
creation of a special field or department, called Homœopathic
General Pathology, especially as it is concerned with
Chronic Diseases.
n
In
medicine, surgery (from the
Greek
χειρουργική,
or chirurgical, and
latin
chirurgiae
meaning "hand work") is a medical specialty that uses operative
manual and instrumental techniques on a
patient to investigate,
and/or treat a pathological condition
such as
disease or
injury, to help improve bodily function or appearance, or
sometimes for some other reason.
Surgery comes into
play when the physiological changes cannot be brought back to
the normal position by medication. When the part becomes
irreparable, we replace it or remove it & the condition improves
.E.g. when a tumor develops, not corrected by medicines we
remove it by surgery. Homeopathy is not against surgery.
Surgery is an art and science by itself. Surgery is called forth
in the conditions where medicines have limited or no role, and
where surgical aid, operation can cure or improve the condition
 Hahnemann
says Aphorism -186
Those so - called
local maladies which have been produced a short time previously,
solely by an external lesion, still appear at first sight to
deserve the name local diseases. But then the lesion must be
very trivial, and in that case it would be of no great moment.
For in the case of injuries accruing to the body from without,
if they be at all severe, the whole living organism sympathizes;
there occur fever, &c.
The treatment
of such diseases is relegated to surgery; but this is right only
in so far as the affected parts require mechanical aid, whereby
the external obstacles to the cure, which can only be expected
to take place by the agency of the vital force, may be removed
by mechanical means, e.g., bythe reduction of dislocations, by
needles and bandages to bring together the lips of wounds, by
mechanical pressure to still the flow of blood from open
arteries, by the extraction of foreign bodies that have
penetrated into the living parts, by making an opening into a
cavity of the body in order to remove an irritating substance or
to procure the evacuation of effusions or collection of fluids,
by bringing into apposition the broken extremities of a
fractured bone and retaining them in exact contact by an
appropriate bandage, &c.
But when in such
injuries the whole living organism requires, as it always does,
active dynamic aid to put it in a position to accomplish the
work of healing, e.g. when the violent fever resulting from
extensive contusions, lacerated muscles, tendons and blood -
vessels requires to be removed by medicine given internally, or
when the external pain of scalded or burnt parts needs to be
homoeopathically subdued, then the services of the dynamic
physician and his helpful homoeopathy come into requisition.
Here the ego of the
physician should not interfere with the objective of giving
relief to and saving the life of the patient, by the use of
surgical measures when medical treatment has clearly failed.
Homoeopathic surgery
Disease primarily a
disturbance in the vital force which is only functional in
character when there is no apparent pathology & so surgery
cannot be applied.If this disturbance persists for sometime &
when the human being is not able to overcome the condition and
it leads to gross pathological changes which may or may not be
brought back to normalcy by medicines, wherein the role of
surgery becomes of paramount importance.
Pathology is the
ultimate of the disease process and not the cause of the
disease. Surgery eliminates the ultimate of the disease and not
its cause. But this ultimate becomes a foreign matter which is
an obstacle to cure & the complete recovery is not possible
unless this obstacle is removed.
There are number of
diseases which are labeled as 'surgical', where homeopathy works
curatively and can avoid surgery. Some such ailments are:
Septic recurrent
Tonsillitis, Piles, Fissure-in-ano, Fistula, Appendicitis
(except gangrenous), Chronic ear discharge, Vocal cord nodules,
Polyp in nose-ear, Kidney & Biliary (small) stones, small size
Uterine Fibroid, Ovarian Cysts, Warts, Corns, etc.
The concept of
disease in homeopathy is that disease is a total affection of
mind and body, the disturbance of the whole organism.
Individual organs are not the cause of illness but disturbance
at the inner level (disturbance of the life force, the vital
energy of the body) is the cause of illness. Homeopathy treats
the patient as a whole and not just the disease.
Gynaecology
or gynecology refers to the surgical specialty dealing
with health of the female
reproductive system (uterus,
vagina and
ovaries). Literally, outside medicine, it means "the science
of women".
Gynaecology & obstetric
may employ medical or surgical therapies (or many times, both),
depending on the exact nature of the problem that they are
treating. Pre- and post-operative medical management will often
employ many "standard" drug therapies.
–Minton,s Uterine
therapeutics.
- Murphy’s repertory
etc.
Indications of OBG
surgery
Dilation and curettage
(removal of the uterine contents for various reasons, including
partial miscarriage and dysfunctional uterine bleeding
refractive to medical therapy)
Hysterectomy
(removal of the uterus in cancer)
Oophorectomy
(removal of the ovaries cancer)
Tubal ligation
Hysteroscopy
Diagnostic
laparoscopy - used to diagnose and treat sources of pelvic
and abdominal pain; perhaps most famously used to provide
definitive diagnosis of
endometriosis.
Exploratory
laparotomy - may be used to investigate the level of
progression of benign or malignant disease, or to assess and
repair damage to the pelvic organs.
Surgical treatment of pelvic organ
prolapse.
Indications for
homoeopathy
Pre-cancerous diseases of the reproductive organs including
ovaries,
fallopian tubes, uterus, vagia, and vulva
White Discharge
Menses related
problems like (a) No menses or delayed menses, (b) Too frequent,
(c) Too heavy, (d) Too less
Infertility
-
Inability to bear children in socially acceptable period of time
Your cognition or
appreciation of your womb being felt or seen during straining
Disturbed because
you have a tumour in womb or ovary
Cancer – too some
extent.
Itching around the
genitals
Medicine
is the
science and "art"
of maintaining and/or restoring
human
health through the
study,
diagnosis, and treatment of
patients. The term is derived from the
Latin
ars medicina
meaning the art of
healing.
The modern practice of
medicine occurs at the many interfaces between the art of
healing and various sciences. Medicine is directly connected
to the
health sciences and
biomedicine. Broadly speaking, the term 'Medicine' today
refers to the fields of clinical medicine,
medical research, thereby covering the challenges of
disease and
injury.
The practice of
medicine combines both
science as the evidence base and art in the application of
this medical knowledge in combination with intuition and
clinical judgment to determine the treatment plan for each
patient.
General repertory –
Kent, BBCR, Synthesis, Murphy
Clinical – clarke,
Boericke, Bell’s diarrhoea etc.
The subject dealing
with the indications, contraindications, dosage, mode of
administration, etc., of modern drugs is a very deep one. If the
homoeopathic physician feels that he has failed or is likely to
fail in a particular case, he can direct such a patient to a
more competent homoeopath or even to an allopath. Many of our
allopathic colleagues send us cases when they have exhausted
their therapeutic resources or feel that their system has
nothing to offer. We have to appreciate their honesty and
sincerity. Surely we can develop the same type of honest
attitude. Our ego should not stand in the way of directing them
to more competent physicians of our own system or of some other
system instead of monk eying with drugs, the therapeutic use of
which we are not quite familiar.
-
To meet the
challenge of the exploding Materia Medica the
homoeopathicrepertory was born.
-
The repertory
analysis clears our vision and points us to the remedy that
will cure the patient.
-
Repertory suggests
&materia medica decides.
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