Fourth B.H.M.S. (2015) Examination, 2021 REPERTORY

2. Short answer Questions 

a) Compare and Contrast rubrics “Affection” and “Affectation” with 2

example of drugs.

b) Compare and contrast rubrics “Absorbed” and “Absent minded” with 2

examples of drugs. |

- c) Write briefly about concept of Totality according to Dr.Boger.

d) Define Case Taking. Write in detail about Acute Case Taking.

-e) Explain in detail why there was Need for Repertory?

-f) Explain in detail Subjective and Objective symptoms 

3. Short answer questions 

a) Write in detail about Remedy Relationship chapter.

b) Explain the Modules given in Hompath Classic software

.

c) Write in detail plan and construction of Pocket Manual of Homoeopathic

Materia Medica with Repertory.

d) Write in detail plan and construction of “A Concise Repertory of

Homoeopathic Medicines”.

e) Explain different Methods of Record Keeping.

f) Write in detail about Prerequisite of Repertorisation.

4. Long Answer Questions 

-a) Relationship between Organon and Repertory. )

OR 

| b) Enumerate and write in detail about Prescribing Symptoms.

-C) Define word Concordance. Explain in detail Gentry’s Repertory.

OR

. d) Explain in detail difficulties in Chronic case taking.

Long Answer Questions 

 5. Compare Kent’s Repertory and B.B.C.R. under following points:

| a) Philosophical background

b) Arrangement of Rubrics

c) Special Features

 d) Criticism

6. Write in detail about Classification of Repertories.

7, Write in detail about History and Evolution of Repertories.

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✅ Q.2 – Short Answer Questions (All 6 Solved)

[6 × 5 = 30 Marks]

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a) Compare Rubrics: Affection vs Affectation

Aspect	Affection	Affectation
Meaning	Feeling of love, care or attachment	Artificial behavior to impress others
Usage	Mental/emotional state	Behavioral pretension
Examples	Phosphorus, Pulsatilla	Ignatia, Lachesis

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b) Compare Rubrics: Absorbed vs Absent-Minded

Aspect	Absorbed	Absent-Minded
Meaning	Fully engrossed in thought	Mentally distracted or inattentive
Context	May appear lost but is focused	Loses track of surroundings
Examples	Nux vomica, Sulphur	Natrum mur, Baryta carb

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c) Concept of Totality – Dr. C.M. Boger

• Includes location, sensation, modality, and concomitants

• Emphasizes importance of modalities and concomitants

• "Totality is the outward reflection of the inner essence of the disease."

• Uses pathological generals and modalities more than Kent

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d) Case Taking & Acute Case Taking

Case Taking: Process of gathering data about the patient’s condition, constitution, and characteristics.

Acute Case Taking:

• Focuses on presenting complaint

• Collect details: onset, duration, cause, sensation, modalities, concomitants

• Previous history may be limited unless it's a recurring condition

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e) Need for Repertory

• Vastness of Materia Medica makes it hard to memorize

• To locate medicines based on specific symptoms

• Helps in analysis and synthesis of symptoms

• Essential for systematic comparison of drugs

• Saves time and improves accuracy in selecting similimum

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f) Subjective and Objective Symptoms

• Subjective: Reported by the patient

  • e.g. pain, nausea, fear

  • Examples: Arsenic alb (fear), Bryonia (thirst)

• Objective: Observed by physician

  • e.g. rash, gait, discharges

  • Examples: Apis (swelling), Belladonna (redness)

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✅ Q.3 – Short Answer Questions (All 6 Solved)

[6 × 5 = 30 Marks]

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a) Remedy Relationship Chapter

• Found in Kent’s Repertory, last section

• Includes complementary, inimical, antidotal, follows well, and comparison remedies

• Helps in second prescription, remedy succession

• Example: Calcarea → Sulph → Lycopodium (complementary chain)

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b) Modules in Hompath Classic Software

• Patient Management: Records and tracks follow-up

• Repertorization Module: Uses Kent, Boericke, Phatak, etc.

• Materia Medica Viewer: Search by symptoms or drug

• Quick Repertorization: Input rubrics and get analysis

• Clinical Tips: Therapeutic hints and relationships

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c) Plan and Construction of Boericke’s Pocket Manual

• Combined Materia Medica + Repertory

• Alphabetical arrangement of remedies

• Repertory at the end with concise rubrics

• Handy, used as bedside clinical reference

• Cross-referencing limited; uses abbreviated symptoms

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d) Plan and Construction of Phatak’s Concise Repertory

• Based on Boger's plan

• Arranged alphabetically

• Includes main rubrics + subrubrics with remedy gradations

• Offers clinical, pathological, and therapeutic rubrics

• Focuses on practical utility in OPD cases

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e) Methods of Record Keeping

1. Narrative format – Chronological case story

2. Schematic format – Rubrics and remedies in grid

3. Electronic Medical Records (Hompath, RADAR)

4. Follow-up charts

5. Vital parameters and remedy responses

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f) Prerequisites of Repertorisation

• Well-recorded case with complete totality

• Proper classification of symptoms

• Selection of appropriate repertory

• Repertorial charting method (manual or software)

• Cross-verification in Materia Medica

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✅ Q.4 – Long Answer Questions (All 4 options solved)

• [2 × 10 = 20 Marks]

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🔷 a) Relationship Between Organon and Repertory

• 1. Basis in Organon:

  • Dr. Hahnemann emphasized symptom totality in Organon (Aph. 5–7, 153).

  • Repertory is the tool to apply this principle practically.

  2. Philosophical Link:

  • Repertory aids in selecting the similimum based on Organon's laws.

  • Follows principles: Single remedy, minimum dose, totality, individualization.

  3. Utility:

  • Organon gives guidelines; Repertory provides methodology.

  • Case taking, evaluation, analysis, and remedy selection all derive from Organon's doctrine.

  4. Examples:

  • Totality of symptoms (Aph. 7) → Repertory rubrics

  • Evaluation of symptoms (Aph. 153) → Kent's grading

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🔷 b) Prescribing Symptoms – Enumeration and Detail

• 1. Types:

  • General symptoms: Mind, thermal, thirst, appetite, sleep

  • Particular symptoms: Organ-specific

  • Concomitant symptoms: Occur with chief complaints

  • Modalities: Aggravation or amelioration

  • Mentals: Emotional and intellectual symptoms

  • Rare, strange, peculiar symptoms (Aph. 153)

  2. Importance:

  • Prescribing must be based on individualization, not diagnosis

  • Symptoms must reflect the patient as a whole, not isolated disease parts

  3. Symptom Hierarchy (Kent):

  • Mind > Generals > Particulars

  • Peculiars hold highest weight

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🔷 c) Concordance and Gentry’s Repertory

• 1. Definition:

  • Concordance: A repertory based on the relationship and compatibility of remedies

  2. Gentry’s Repertory:

  • Full title: Gentry's Concordance Repertory of Materia Medica

  • 7-volume work

  • Alphabetically arranged rubrics

  • No subrubrics; drug relationships listed per rubric

  • Emphasis on clinical conditions and modalities

  3. Utility:

  • Easy to find related drugs

  • Used to explore complementary, inimical, and comparative remedies

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🔷 d) Difficulties in Chronic Case Taking

• 1. Long history with multiple complaints

  2. Patient forgets or omits key symptoms

  3. Multiple treatments (Allopathic, Ayurvedic) confuse the picture

  4. Mental symptoms not easily expressed

  5. Disguised miasmatic layers

  6. Lack of peculiar or individualizing symptoms

  7. Suppressed eruptions or discharges

  8. Incomplete family history

  9. Complex disease evolution (e.g. diabetes + depression)

  Approach:

  • Use of checklists

  • Allow patient to speak freely

  • Repeated sessions if needed

  • Consider past, present, family, and environmental factors

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✅ Q.5 – Compare Kent’s Repertory vs BBCR

• [20 Marks]

  Feature	Kent's Repertory	Boger-Boenninghausen's Repertory (BBCR)
  Philosophical base	Based on Doctrine of Generalization (Kent)	Based on Doctrine of Complete Symptom (Boger/B.)
  Arrangement	Mind to Extremities, based on anatomical schema	Modalities to Generals, then particulars
  Rubric structure	Large rubrics with many subrubrics	Compact, clinical rubrics with few subrubrics
  Grading	3 gradations: bold, italics, plain	5 gradations
  Special Features	Remedy relationship section, strong emphasis on mind	Pathological generals, modalities, concomitants
  Utility	Constitutional and chronic cases	Acute cases, fevers, GIT, one-sided cases
  Criticism	Less emphasis on pathology or clinical condition	Limited mental symptoms, confusing arrangement

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✅ Q.6 – Classification of Repertories

• [20 Marks]

  I. Based on Construction:

  1. Alphabetical Repertory

     • Rubrics arranged alphabetically

     • e.g. Gentry’s Repertory

  2. Therapeutic/Clinical Repertory

     • Based on disease conditions

     • e.g. Hering's Guiding Symptoms (vol. X)

  3. Concordance Repertory

     • Based on relationship of remedies

     • e.g. Gentry, Knerr

  4. Card Repertory

     • Uses punched cards for rubrics

     • e.g. Boger's Card Repertory

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  II. Based on Philosophical Background:

  1. Generalization-based

     • Kent, Synthetic Repertory

  2. Totality-based

     • BBCR, Boger Synoptic Key

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  III. Based on Software Platform:

  1. RADAR

  2. Hompath

  3. ISIS Vision

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  IV. Based on Clinical Use:

  1. For acute cases – BBCR

  2. For mental generals – Kent

  3. For fevers and pathologies – Boger’s Repertory

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✅ Q.7 – History and Evolution of Repertories

• [20 Marks]

  Period	Development
  Pre-Hahnemann	Only Materia Medica existed, no repertory
  Hahnemann’s era	First idea of indexing symptoms (Fragmenta, 1805)
  1832	Boenninghausen’s Repertory of Antipsorics – first real repertory
  1846	Jahr’s Repertory – systematized, translated by Hempel
  1897	Kent’s Repertory – standard for constitutional prescribing
  1905–1928	BBCR and Boger Synoptic Key developed
  Mid-20th century	Card Repertories (Boger) used in U.S. and India
  Late 20th century	Computer repertories – RADAR, Hompath, MacRepertory

  Significance:

  • Evolution shows shift from clinical rubrics to individualization

  • Software has made analysis and follow-up efficient

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