HOW I REPERTORIZED A CASE


It got the highest umber of marks for the symptom “worse by bathing”, and the patient had no typical symptoms of Bryonia, e.g., thirst for large quantity of water and better by rest. She had been x-rayed in the hospital in Poona and I dont know what had been diagnosed there. I asked for the x-ray diagnosis and that of the attending physician from her son but I could not get any information. Trouble in the kidney was excluded by urine examination.


President and Friends.

The case which I am going to report to show “How I repertorized my case,” is that of a Konkani Mahomedan lady, aged about 50 years, living in Poona, weak and anaemic, disgusted with her life, because of her long continued illness which was treated by private as well by hospital physician too. She was tired of drinking mixtures of different nasty tastes. She particularly came to Bombay for homoeopathic treatment.

The history and symptoms of the patient are as follows:-

(I) Pain – digging in character-in the left side of abdomen, near about the left kidney region.

(a) amelioration by lying on left i.e. affected side.

(II) Fever – recurring every 4th, 8th or 15th day-starting mostly at 10 A.M. in the morning or at 5 P.M. in the evening – with rigors. Concomitants of fever:-.

(a) Whole body aching.

(b) A desire to be covered during fever.

(c) Followed by sweat.

(III) Thirst during chilliness (rigors)

(IV) Formication of whole body.

(a) aggravated during fever.

(V) Giddiness

(VI) Feeling of lightness in head.

(VII) Sleep late

(VIII) Burning sensation in the lumbar region, more in the left side.

(IX) Tongue coated, with sides and tip red.

(X) Worse by bathing – General.

Previous history:-

(XI) An attack of dysentery

(XII) An attack of influenza.

By analysing the symptomatology, the first two complaints are the main complaint of the patient. They consist of sensation, location, modality and concomitants.

The further eight complaints of the patient form her constitutional and functional disturbances.

I repertorized this case with Boenninghausens Therapeutic Pocket Book, on the following symptoms.

(I) Sleeping late, page 240.

I repertorized the constitutional symptoms first and then the present complaints. Out of the constitutional symptoms, I took the symptom, “Sleeping late,” first because it is important as it is related to the brain (the important part of the body) and because it gives as many drugs as possible to take down with little possibility of any important drug being omitted.

(II) Giddiness – Page 23

(II) Formication – page 159

(IV) More during fever – page 268

(V) Worse by bathing – p. 272

(VI) Chilliness with thirst – p.255.

The repertorization of the constitutional symptoms, excluded all other drugs except nine.

Then I repertorized the symptoms of the present complaints; they were as follows:-

(VII) Pain in the left side of abdomen, ameliorated by lying on painful side – p. 259

(VIII) Fever with dread of uncovering – p. 259

(IX) Pain – digging in character – p. 155.

By repertorising the last three symptoms, the number of drugs were reduced from nine to two. They were Bry 2/9 6 and Rhus-tox 30/9. Out of these two drugs, I preferred Rhus-tox on the following grounds:- It got the highest total. It got the highest umber of marks for the symptom “worse by bathing”, and the patient had no typical symptoms of Bryonia, e.g., thirst for large quantity of water and better by rest.

She had been x-rayed in the hospital in Poona and I dont know what had been diagnosed there. I asked for the x-ray diagnosis and that of the attending physician from her son but I could not get any information. Trouble in the kidney was excluded by urine examination. The patient had also no complaint with reference to urination.

I gave her Rhus-tox 30, two powders in the beginning, which I had to repeat again, only twice, one each time, during the course of 4 months. She is now hale and hearty, as testified by letters of her son.

R R Pai