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Creating Waves of Awareness

 - In homoeopathy, information on remedies comes from three different sources: pure materia medica, clinical materia medica and the repertories. - The first gives a detailed account of the provings, and is valuable for its authenticity and impartiality; but we cannot rely on this alone, as it lacks cohesion and synthesis. - In spite of a rigorous adhesion to observation, its greatest drawback is the inability to evaluate each symptom according to its dynamic qualities - its meaning, intention and result - unless all symptoms extracted from the provings are considered to have an existential relationship to the totality of symptoms.

 - The second source of knowledge is clinical materia medica. - This offers the enormous benefit of the physician's clinical experience, however subjective this information may be. - It is generally agreed that the writings of Kent, Tyler, Nash, Allen, Gallavardin, Clarke and Roberts, to name but a few, are extremely valuable aids in the search for the essence of the remedy - the mode of action, conditions and fundamental cause - that Hahnemann talks about in Paragraphs 3 and 5. 
 - The characteristics of the remedy can be perceived through the way it lives, its attitudes and expectations, its reactions to circumstances and situations which affect it and influence its behaviour from birth to death.

 - The third source of knowledge comes from the repertories, the best being, in my opinion, those written by Kent and Barthel.

 - As we all know, the original purpose of the repertory was to classify symptoms in order to facilitate finding that remedy which would cover a given symptom picture. - It is not appropriate here to pay tribute to the brilliance of the system which Kent devised for compiling and using the repertory. - I will, instead, focus on another fundamental aspect, which I now believe to be the most important contribution that Kent made to homoeopathy.

 - It is often the case that the laborious and repetitive process of repertorisation actually improves our knowledge of the similarities and differences between remedies. - My original plan was to repertorise remedies in order to make this vast wealth of information easier to absorb. - As I embarked on this study, it gradually dawned on me that there was a basic characteristic theme, a group of symptoms around which all the others would obediently gather.

 - The selection of a remedy inevitably involves a process of comparing and differentiating between similar remedies. - I would go so far as to say that every repertorisation is, in fact, a study of comparisons. - We take the remedies which come through and compare them to one another and to the case before us.

 - I believe that this aspect of repertory work should be explored further, especially in the Mind section, and to this end I would like to make the following points:

 - 1) The way that symptoms are rated according to Kent's system, i.e.  black type, italics and low type, should vary according to how symptoms compare with each other. - For example, in `Company, desire for, alone while, agg.', Lycopodium figures in italics, but the value would be higher in a differential diagnosis with the symptom `Mood changeable, variable' where this appears in black type, simply because there are only sixteen remedies in the former rubric and more than one hundred in the latter.

 - 2) The repertory is our only source of information about the relative value of a symptom. - For example, it is only through the repertory that we will discover that China is the only remedy in `Mirth on waking', or that only Nitricum Acidum and Staphysagria have `Anxiety, walking rapidly, when', or that Argentum Nitricum is the only remedy in the rubric `Anxiety, walking rapidly, when, which makes him walk faster'.

 - 3) A remedy can be studied and analyzed in great depth, using the repertory as a guide. - To take Silicea as an example, there are some striking paradoxes in this remedy, which appears in `Consolation aggravates' and `Magnetised, desires to be', in `Mildness', in `Obstinate', in `Timidity' and in `Egotism', although this is all   explicable in terms of his acute awareness of his mental weakness, which makes him both `Conscientious about trifles' and `Obstinate'. - Furthermore, Silicea does not appear in any of the rubrics which take a more active attitude towards life, such as hatred, resentment, grief, mortification, or sensitivity to offence, and he neither desires nor rejects company; the one exception is the aggravation while alone, because of his lack of stamina and strength. - In other words, for him to accept consolation would be to undermine his strong sense of responsibility (conscientiousness) and his large ego (egotism), and his inbuilt timidity prevents him from looking for company, while his feelings of vulnerability prevent him from rejecting it. - He is caught between the need to lean on other people and the desire to assert himself, and he believes his salvation lies in the silent all-knowing image of the father figure. - This explains his desire to be magnetised and his aggravation when alone. - For does he not cry as he relates his symptoms (`Weeping, telling of her sickness, when') (Candegabe) and, like Staphysagria, feel `Dullness from conversation'? - It is the modalities which link symptoms to each other, and point the way to what Hahnemann called the conditions and mode of action of the remedy.

 - 4) The repertory clearly shows us that every symptom has a `why' and a `wherefore' in the context of other symptoms. - A remedy is characterised by the dynamic relationship between its symptoms and not by the symptoms alone. - Lycopodium is not characterised just by his lack of self-confidence (`Confidence, want of self'), but by the way in which this characteristic symptom expresses itself through him; in other words, how the feeling permeates every cell of his body and pushes him on to win the fight and show the world how powerful he really is. - With his `Haughty' and `Dictatorial' nature, his love of power (`Power, love of'), his sympathetic nature (`Sympathetic'), the occasional involuntary smile (`Smiling, involuntary'), the `Jesting', the ability to laugh when things get serious (`Laughing, serious matters, over'), and his love of `Theorising', he tries to cover up his `Cowardice', and his doubts (`Doubtful, soul's welfare, of'), his low self-esteem (`Confidence, want of self'), his tearfulness (`Weeping'), and his fear of being alone (`Fear, alone, of being'). - Lycopodium is characterised first and foremost by the contradictions in his nature: pride and humility, the despot and the coward. - The many facets of Lycopodium all point to one central theme, his basic lack of self-confidence; but it is these facets which reveal the particular Lycopodium attitude to life and all its problems. - It cannot be stressed too strongly that the patient is characterised, not by a group of isolated symptoms, but by his personality, and his personality is his way of being a dynamic and animating influence.

 - 5) I have often observed the following to be true. - When a rubric from the repertory contains only one or two remedies, then the symptom, whether it be a delusion, a sensation, a dream or a modality of a mental symptom, is central to the remedy. - For example, the rubric `Company, desire for' has the following sub-rubric: `yet treats them outrageously', with Kali Carbonicum as the only remedy. - The whole character of Kali Carbonicum can be summed up by this one rubric. - He cannot be alone, he fears solitude, but he will rebuff rudely all attempts to come to his aid. - Paschero says of this remedy: `His bad temper and discontentment are reactions to the state of profound weakness which handicaps him both physically and intellectually, and which forces him to need other people.' - This is precisely what is meant by the rubric. - A victim of his mood swings (`Mood, changeable') and his `Antagonism with himself', his fear of being alone (`Fear, alone, of being') and his `Quarrelsome' nature make him `Contrary', `Obstinate' and `Unobserving' of society's rules. - In the Delusions section, Kali Carbonicum is the only remedy under `Delusions, neck is too large', and one of only three under `Delusions, birds, sees', the other two being Lac Caninum and Belladonna. - The former symptom symbolises his struggle for independence, where the head - the mind - is firmly attached to the body, helpless and passive as that of a new-born baby, by a large powerful neck  the umbilical cord. - The latter symptom, a vision of birds, is also a symbol of his desire for freedom. - It is only through the repertory that we can discover which symptoms are exclusive to one or two remedies. - The thirst for power (`Power, love of') and the fear that he will never arrive at his destination (`Fear, destination, of being unable to reach his') are unique to Lycopodium and together they characterise a nature which is essentially both dictatorial and insecure. - Baryta Carbonica is the only remedy who, as a child, thinks all visitors laugh at him and tries to hide behind the furniture. - This child is painfully shy (`Timidity'), and afraid of strangers (`Fear, strangers, of'); he feels rejected (`Delusions, deserted, forsaken') and disapproved of (`Delusions, criticised, that he is'), and spends his time conscientiously fussing over trifles with great `Dullness, sluggishness, difficulty of thinking and comprehending'. - He lives in constant fear of being criticised, laughed at or abandoned, and he hides behind his fears, his mental dullness, his timidity and his perfectionism; from this it should be easy to understand the meaning of the strange delusion that he walks on his knees (`Delusions, knees, that he walks on'), one which is peculiar to the remedy. - This is a clear example of the way in which the repertory helps to confirm and clarify our picture of the remedy.

 - 6) Two similar remedies can be distinguished by the presence of a single characteristic symptom which is unique to one of the remedies. - To take Nux Vomica and Nitricum Acidum as examples, they are both in the following rubrics: `Irritability', `Violent', `Sensitive,   external impressions, to all', `Horrible things, sad stories, affect her profoundly', `Anger over his mistakes', `Sympathetic', `Anxiety, conscience, of', `Malicious', and so on. - However, the symptom `Hatred, persons of, who had offended, unmoved by apologies' is unique to Nitricum Acidum. - This one symptom illustrates the essence of the remedy. - He holds on to his hatred to such a degree that he is unmoved by apologies, and he allows his blind prejudice to shut him off from life. - As Paschero has said, he is a `violent and aggressive person whose faith in people and in life is totally destroyed'. - He hopes for nothing, so he is neither offended easily, nor mortified, nor intolerant of contradiction. - He is consumed by rage, bitterness and despair, and the single symptom `Hatred, persons of, who had offended, unmoved by apologies' says it all. - By contrast, Nux Vomica does not hate; he fights, he complains, he tolerates neither contradiction nor injustice, he is positive, affectionate, sensitive to people's opinions and easily offended.

 - 7) While the attributes of a remedy can be gathered from reading materia medica, the remedy can only be fully defined by what it does not have, and this information can only be found in the repertory. - For example, Nux Vomica is the only remedy in the rubric `Quiet disposition, wants to be, desires repose and tranquility', but it does not appear in the rubric `Tranquility', meaning peacefulness or composure, nor does it appear in the rubric `Slowness'. 

- Hence, we may deduce that Nux Vomica desires repose and tranquility precisely because he does not have it, and that his impatient and fiery nature is constantly searching outside for something he will never find inside himself.

 - 8) The meaning is completely dependent upon the character of the remedy. - For example, the meaning of the symptom `Well, says he is, when very sick' will vary according to the remedy. - Arsenicum would say he is well because he despairs of his recovery (`Despair, recovery'), and believes that all medicines are useless; this would also account for his dislike of consolation (`Consolation agg.'), despite his fear of being alone (`Fear, alone, of being'). - Pulsatilla, on the other hand, enjoys being comforted (`Consolation amel.'), in keeping with her great need for company and affection; in her, this affirmation reveals her wish to get well quickly, lest the people who care for her should tire themselves out worrying about her and go away (`Forsaken feeling'). - This is what lies behind the silent grief (`Grief, silent'), the `Indifference' and the tears when she talks about her sickness (`Weeping, telling of her sickness, when'). - Hyoscyamus, to take another example, says he is well because he is `Suspicious' and jealous (`Jealousy'), and suffers from a paranoid delusion that he has been poisoned (`Delusions, poisoned, thought he had been').

 - 9) The comparative study of remedies through the repertory can also enhance our knowledge of lesser-known remedies which may come through on repertorisation. - For example, Arnica has five of the ten symptoms which feature in the Minimum Characteristic Syndrome of Lachesis. - The rubrics are `Haughty', `Malicious', `Suspicious', Dictatorial' and `Loquacity'. Arnica is oversensitive to all external impressions (`Sensitive, external impressions, to all') in that he finds all physical contact painful. - His fear of being touched is as great as his fear of being approached (`Fear, approaching him, of others'). - He feels vulnerable, so he withdraws into himself and avoids people; he resents the doctor, once a tried and trusted friend, now an unwelcome intruder, and sends him packing; he says he is well, when very sick, because, in a syphilitic case, he is utterly indifferent to everything (`Indifference, everything, to'), including the state of his health; in a sycotic case, he will say he is well because he refuses to answer (`Answers, refuses to'), is `Suspicious', and dislikes consolation (`Consolation agg.'). - We can amplify this picture with the symptoms `Haughty', `Quarrelsome', `Repulsive mood', `Censorious', `Defiant' and `Contradict, disposition to'. - Arnica has all the makings of the perfect political leader. - He is impervious to the pain and suffering of others, indifferent to everything, reserved yet extremely affable, and ready to fight when   necessary. - Surprisingly, all the symptoms which make up the Minimum Characteristic Syndrome of Silicea are also found in Bryonia, Ignatia, Lycopodium and Nux Vomica: they are `Confidence, want of self', `Timidity', `Anticipation, complaints from', `Obstinate' and `Conscientious about trifles'. - In addition, they all have difficulty in thinking, but in Bryonia's case an unshakable determination to succeed, no matter what, ensures that he suffers no aggravation from mental exertion. - Bryonia is characterised by the `Irritability' provoked by his physical weakness, which is symbolised by `Motion agg.' and `Escape, attempts to'. - He is `Impetuous' and `Industrious' and, in the heights of his delirium, talks and thinks of nothing but business. - By contrast, Silicea is a nice, harmless person with a touchingly childlike need for support and comfort, prone to homesickness, aggravation while alone, and the desire to be magnetised. - Bryonia is motivated by his fear of poverty (`Fear, poverty') and his feelings of inferiority to reach for perfection in his sycotic life. - He attempts to overcome the psoric flaw in his character - `Ailments from anticipation' - with his intolerance of contradiction and the persistence with which he doggedly pursues his aims. - The conflict between the psoric weakness and the sycotic impulses create enormous frustrations for him, which are exacer  exacerbated by the aggravation from motion; he becomes impetuous, capricious and thoughtless. - Once again, the essence of the remedy is brought out by just three core symptoms: `Quiet disposition, wants to be', `Delusions, business, fancies he is doing' and `Delirium, busy'. - The subject is endless. - But, to my mind, it is far more beneficial for the student to take an active part in the process of learning, using these ideas as a springboard for new discoveries and observations, rather than studying a fixed set of theories. - The repertory is a truly excellent tool for analyzing and understanding the complex beings which inhabit its pages, beings which are inextricably linked to their disease patterns and who reveal themselves to our eyes in surprising and exciting ways. - I am sure that the reader will find much both to agree and to disagree with in this work; I hope that these ideas provide at least a small contribution to our understanding of the great truth of homoeopathy.

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According to Dr Hahnemann we treat the patient not the disease. So, we search the remedy as a whole. The characteristics of the remedy can be perceived through the way it lives, its attitudes and expectations, its reactions to circumstances and situations which affect it and influence its behaviour from birth to death.
Insightful post Sir
Thanks a lot Sir for comment.
Very educative Dr. Ravindra.

Very good findings. But Sir. for a lay man it is very very difficult to digest.Kindly also share some thing creative & easy for a layman because you have so much materials in your stock...


Sir, very informative and clear cut explainations. Regards.


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