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mdpathyqa Latest Questions

Asked: 3 years agoIn: Repertory

Write down the advantages using concordance repertory.

ashfaq ahmed
ashfaq ahmedBegginer

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advantagesconcordance repertory
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  1. Dr Md shahriar kabir B H M S; MPH
    Dr Md shahriar kabir B H M S; MPH Enlightened dr.basuriwala
    Added an answer about 3 years ago

    The Concordance Repertory of the Materia Medica by Gentry is designed to enable the physician to find quickly and certainly any desired symptom in the materia medica together with the indicated remedy. Here are some of the advantages of using a concordance repertory: 1. Efficiency: It allows for quiRead more

    The Concordance Repertory of the Materia Medica by Gentry is designed to enable the physician to find quickly and certainly any desired symptom in the materia medica together with the indicated remedy. Here are some of the advantages of using a concordance repertory:

    1. Efficiency: It allows for quick and certain identification of any desired symptom in the materia medica.
    2. Comprehensive: It includes all the more characteristic pathogenetic symptoms.
    3. Clinical Relevance: It includes only such clinical symptoms as have been repeatedly verified.
    4. Suggestive Remedies: When two or more remedies have the power to produce a similar condition, they are included as merely suggestive, under the name of the condition produced.
    5. Detailed: The idea, condition, fact, or object of the sentence is given in detail.
    6. Originality: Concordance repertories belong to the Puritan group of repertories where the symptoms are given in their original form without much change.

    These advantages make the Concordance Repertory a valuable tool in Homoeopathic practice.

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Asked: 3 years agoIn: Case taking, Human Behavior, Miasma, Psychology, Repertory

Classify eating disorder.

ashfaq ahmed
ashfaq ahmedBegginer

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eating disorder
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  1. Dr Md shahriar kabir B H M S; MPH
    Dr Md shahriar kabir B H M S; MPH Enlightened dr.basuriwala
    Added an answer about 3 years ago

    Eating disorders are a range of psychological conditions that cause unhealthy eating habits to develop. They might start with an obsession with food, body weight, or body shape. Here are some of the most common types of eating disorders: 1. Anorexia nervosa: This disorder is characterized by an inteRead more

    Eating disorders are a range of psychological conditions that cause unhealthy eating habits to develop. They might start with an obsession with food, body weight, or body shape. Here are some of the most common types of eating disorders:

    1. Anorexia nervosa: This disorder is characterized by an intense fear of gaining weight and a distorted body image which leads to self-imposed starvation and excessive weight loss.

    2. Bulimia nervosa: Individuals with this disorder have recurrent episodes of binge eating followed by behaviors to prevent weight gain such as self-induced vomiting, use of laxatives or diuretics, fasting, or excessive exercise.

    3. Binge eating disorder: This is characterized by recurrent episodes of eating large quantities of food, often very quickly and to the point of discomfort. It’s often accompanied by feelings of loss of control, shame, or guilt.

    4. Orthorexia nervosa: This is an obsession with healthy or “clean” eating. It’s not officially recognized as a distinct eating disorder in the DSM-5.

    5. Avoidant/restrictive food intake disorder: This disorder is characterized by a lack of interest in food or avoidance of foods with certain sensory characteristics, without concern for body weight or shape.

    6. Pica: This involves eating non-food substances such as dirt or paint. It may be caused by a lack of certain nutrients in the body.

    7. Purging disorder: Individuals with this disorder use purging behaviors, like vomiting, laxatives, diuretics, or excessive exercise, to control their weight or shape, but do not binge eat.

    8. Night eating syndrome: This is characterized by recurrent episodes of night eating, such as eating after awakening from sleep or excessive food consumption after the evening meal.

    9. Atypical anorexia nervosa: This disorder includes all the criteria for anorexia nervosa, but despite significant weight loss, the individual’s weight is within or above the normal range.

    10. Unspecified feeding or eating disorder: This category applies to presentations in which symptoms characteristic of a feeding and eating disorder that cause clinically significant distress or impairment in social, occupational, or other important areas of functioning predominate but do not meet the full criteria for any of the disorders in the feeding and eating disorders diagnostic class.

    11. Muscle dysmorphia: This is a subtype of body dysmorphic disorder, which is an obsession with the idea that one’s body is not lean and muscular enough.

    12. Nocturnal sleep-related eating disorder: This is characterized by recurrent episodes of eating after awakening from sleep.

    Each condition involves an extreme focus on issues related to food and eating, and some involve an extreme focus on weight. These disorders can cause serious health consequences and may even result in death if left untreated. Treatment often involves a combination of nutritional counseling, psychotherapy, and medication.

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Asked: 3 years agoIn: Repertory, Technology

What do you know about synthesis repertory?

ashfaq ahmed
ashfaq ahmedBegginer

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synthesis
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  1. Dr Md shahriar kabir B H M S; MPH
    Dr Md shahriar kabir B H M S; MPH Enlightened dr.basuriwala
    Added an answer about 3 years ago

    Synthesis Repertory is a comprehensive homeopathic repertory that is widely used by homeopaths worldwide for accurate prescribing and best results. It was first developed in 1987 and is based on the 6th American edition of Kent's repertory, containing all its rubrics and remedies. The Synthesis RepeRead more

    Synthesis Repertory is a comprehensive homeopathic repertory that is widely used by homeopaths worldwide for accurate prescribing and best results. It was first developed in 1987 and is based on the 6th American edition of Kent’s repertory, containing all its rubrics and remedies. The Synthesis Repertory has been improved over time and is now available in several languages, including English, French, German, Italian, and Spanish.

    Synthesis repertory by Frederik Schroyens is amongst the leading repertory in modern world with its ever-increasing new information. It contains latest proving information, many additions to Kent’s repertory. It has brought a huge benefit to the homeopathic practice with its structure, philosophical background and arrangement of rubrics and sub-rubrics.

    Synthesis repertory is based on the philosophy of Kent (deductive logic) with more precision and enhancement by addition of information from BBCR, Boericke’s Repertory, Phatak’s Repertory, Materia Medica by Hahnemann, Kent’s, Hering’s Encyclopaedia, Allen’s Encyclopaedia, Robert’s “Sensation as if ”.

    The latest Synthesis Repertory is the development of profound work, incorporating vast collection of information. It is the result of continuous work of the homeopathic community from different provinces in the world. Dr. Frederik Schroyens ultimately did this job in collaboration with the leading homoeopaths throughout the world leading to the development of synthesis repertory. Synthesis is a repertory linked to RADAR (Rapid Aid to Drug Aimed Research) project. It is based on 6th American edition of Kent’s repertory and contains all its rubrics and remedies. Since 1987 Synthesis has been used as database for RADAR. It has been commented upon and there by improved over and over again. Indeed not only additions of an increasing number of authors but also correction of existing data have been integrated.

    It contains: Remedy occurrences: More than 300,000 and Remedies described: 2,373

    With the vast data available and so many different ways to utilise it, we can sometimes lose sight of how we can actually use it for the best. This 2-part session provide insight into the intricacies of Synthesis repertory and solving them.

    The Synthesis Homeopathic Repertor app by ZEUS SOFT sprl is a popular mobile application that provides access to the full Synthesis edition 2009V. It contains more than 2,500 pages, 180,400 rubrics, and 1,077,000 remedy entries. The app also includes veterinary rubrics and additions (only in the English and German versions), Kent’s Treasure corrections and additions, Künzli dots, symptom clipboard management, bookmarking, and PDF analysis sharing.

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Asked: 3 years agoIn: Materia Medica, Repertory

Write down the role of Kali iodatum in brain tumour.

ashfaq ahmed
ashfaq ahmedBegginer

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brain tumourkali iodatum
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  1. Dr Md shahriar kabir B H M S; MPH
    Best Answer
    Dr Md shahriar kabir B H M S; MPH Enlightened dr.basuriwala
    Added an answer about 3 years ago

    Kali iodatum is a homeopathic remedy that is derived from iodide of potassium, a chemical compound that has been used in medicine for various purposes. Kali iodatum is indicated for brain tumour when the following symptoms are present: 1. Sadness and anxiety 2. Loss of memory 3. Impaired and slow spRead more

    Kali iodatum is a homeopathic remedy that is derived from iodide of potassium, a chemical compound that has been used in medicine for various purposes. Kali iodatum is indicated for brain tumour when the following symptoms are present:

    1. Sadness and anxiety
    2. Loss of memory
    3. Impaired and slow speech
    4. Chronic vertigo
    5. Persistent nervousness to speak
    6. Confusion
    7. Feeling of contraction of the scalp
    8. Sensation of a cold spot on the forehead
    9. Objects seem to whirl when walking
    10. Dizziness on closing the eyes
    11 Tiredness and fatigue
    12. Hearing noises
    13. Aversion to milk and meat
    14. Fetid breath
    15. Feeling as if the stomach is pressing against the spine
    16. Violent coughing
    17. Black-and-blue marks on skin
    18. Sleeplessness and restlessness even when tired¹²

    Kali iodatum is believed to act on the brain tissue and reduce the inflammation, swelling, and pressure caused by the tumour. It may also help in relieving the pain, headache, and neuralgia associated with brain tumour. Kali iodatum may also have a beneficial effect on the mental and emotional state of the patient, as it may calm the anxiety, sadness, confusion, and irritability caused by the tumour.

    However, It is advisable to consult a qualified homeopath before taking kali iodatum or any other homeopathic remedy for brain tumour. Homeopathic treatment may have some side effects or risks, such as aggravation of symptoms, allergic reactions, or interactions with other medicines. Therefore, it is important to follow the instructions and guidance of the homeopath carefully.

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Asked: 3 years agoIn: Repertory

Describe the limitation of Boenninghausen Repertory.

ashfaq ahmed
ashfaq ahmedBegginer

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boenninghausen repertory
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  1. Dr Md shahriar kabir B H M S; MPH
    Dr Md shahriar kabir B H M S; MPH Enlightened dr.basuriwala
    Added an answer about 3 years ago

    In short, The Boenninghausen Repertory is a homeopathic repertory that was developed by Dr. Clemens von Boenninghausen, a student of Hahnemann, based on the concept of complete symptom and concomitance. It is a concise and logical repertory that uses a unique structure of grading remedies accordingRead more

    In short, The Boenninghausen Repertory is a homeopathic repertory that was developed by Dr. Clemens von Boenninghausen, a student of Hahnemann, based on the concept of complete symptom and concomitance. It is a concise and logical repertory that uses a unique structure of grading remedies according to their degree of similarity to the case. However, it also has some limitations that may affect its applicability and reliability in some situations. Some of the limitations are:

    1. It does not include many mental symptoms, as Boenninghausen believed that they were not essential for prescribing, unless they were very characteristic or peculiar. This may make it difficult to use the repertory for cases where the mental state is prominent or important.
    2. It does not have many sub-rubrics or specifications for the modalities, locations, sensations, and concomitants of the symptoms. This may make it challenging to find the most suitable remedy for cases where the details are significant or distinctive.
    3. It does not contain many new remedies that have been proved or clinically verified after Boenninghausen’s time. This may limit the scope of the repertory for cases where the modern remedies are indicated or preferable.
    4. It does not follow the Hahnemannian method of case-taking and analysis, as Boenninghausen adopted a different approach based on his own experience and observation. This may create some inconsistency or confusion for homeopaths who follow the original teachings of Hahnemann.
    5. It does not provide any explanation or reference for the source of the symptoms or the grading of the remedies. This may affect the accuracy and credibility of the repertory for cases where the origin or reliability of the information is questionable.
    6. Limited no. of medicine.
    7. Concomitants are not mentioned properly.
    8. No indexing of chapter.
    9. No separate heading for some chapter.
    10 Well proved medicine are not given.

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Asked: 3 years agoIn: Homoeopathic philosophy, Miasma, Organon

Write the differences between true & false chronic disease.

ashfaq ahmed
ashfaq ahmedBegginer

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false chronic diseasetrue chronic disease
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  1. Dr Md shahriar kabir B H M S; MPH
    Dr Md shahriar kabir B H M S; MPH Enlightened dr.basuriwala
    Added an answer about 3 years ago

    True/miasmatic chronic diseases are the diseases that originate from a chronic miasm, which is a dynamic infection that affects the vital force and produces a morbid disposition in the organism. There are three primary miasms: psora, sycosis, and syphilis. These miasms are the fundamental causes ofRead more

    True/miasmatic chronic diseases are the diseases that originate from a chronic miasm, which is a dynamic infection that affects the vital force and produces a morbid disposition in the organism. There are three primary miasms: psora, sycosis, and syphilis. These miasms are the fundamental causes of all chronic diseases.

    False chronic disease are the diseases that patients bring upon themselves because of prolonged and continual exposure to the avoidable maintaining causes. False chronic diseases are not true chronic diseases because there is no chronic miasm in the background. These are also called as pseudo chronic or inappropriately named chronic diseases.

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Asked: 3 years agoIn: Disease, Pathology, Repertory, Surgery

What do you mean by nephrolithiasis

ashfaq ahmed
ashfaq ahmedBegginer

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nephrolithiasisrenal calculusrenal stone
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  1. Dr Md shahriar kabir B H M S; MPH
    Dr Md shahriar kabir B H M S; MPH Enlightened dr.basuriwala
    Added an answer about 3 years ago

    @ashfaq ahmed Nephrolithiasis is a medical condition that refers to the formation of kidney stones in the urinary tract . Kidney stones are hard deposits made of minerals and salts that form inside the kidneys. They can cause a variety of symptoms, including severe pain in the back, flank, or groin,Read more

    ashfaq ahmed
    Nephrolithiasis is a medical condition that refers to the formation of kidney stones in the urinary tract . Kidney stones are hard deposits made of minerals and salts that form inside the kidneys. They can cause a variety of symptoms, including severe pain in the back, flank, or groin, nausea and vomiting, blood in the urine, fever and chills (if an infection is present), and painful or frequent urination. The most common symptom is severe pain in the back, flank, or groin that comes and goes in waves.

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Asked: 3 years agoIn: Case taking, Disease, Pathology, Repertory, Surgery

Write down the symptoms of nephrolithiasis.

ashfaq ahmed
ashfaq ahmedBegginer

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nephrolithiasisrenal calculusrenal stone
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  1. Dr Md shahriar kabir B H M S; MPH
    Dr Md shahriar kabir B H M S; MPH Enlightened dr.basuriwala
    Added an answer about 3 years ago

    @ashfaq ahmed Nephrolithiasis, also known as kidney stones, can cause a variety of symptoms. The most common symptom is: 1. Severe pain in the back, flank, or groin that comes and goes in waves. Pain may be felt in the belly area or side of the back, below the ribs . Pain may move to the groin areaRead more

    ashfaq ahmed
    Nephrolithiasis, also known as kidney stones, can cause a variety of symptoms. The most common symptom is:
    1. Severe pain in the back, flank, or groin that comes and goes in waves. Pain may be felt in the belly area or side of the back, below the ribs . Pain may move to the groin area (groin pain), testicles (testicle pain) in men, and labia (vaginal pain) in women. Pain that comes in waves and fluctuates in intensity. Pain caused by a kidney stone may change for instance, shifting to a different location or increasing in intensity as the stone moves through your urinary tract.
    2. Pain or burning sensation while urinating
    3. Nausea and vomiting.
    4. Abnormal urine color (Pink, red or brown urine) or Cloudy or foul-smelling urine.
    5. Blood in the urine.
    6. Fever and chills (if an infection is present).
    7. Painful or frequent urination.
    8. A persistent need to urinate, urinating more often than usual or urinating in small amounts.
    9. More vague pain or stomach ache that doesn’t go away.

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Asked: 3 years agoIn: Disease, Pathology, Repertory, Surgery

Write the types of renal calculus with features

ashfaq ahmed
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classificationsnephrolithiasisrenal calculusrenal stonetypes
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  1. Dr Md shahriar kabir B H M S; MPH
    Dr Md shahriar kabir B H M S; MPH Enlightened dr.basuriwala
    Added an answer about 3 years ago

    @ashfaq ahmed Renal calculi, also known as kidney stones, are solid masses that form in the urinary tract. There are different types of renal calculi, each with its own unique features. Here are the four main types of renal calculi and their features: 1. Calcium stones: These are the most common typRead more

    ashfaq ahmed
    Renal calculi, also known as kidney stones, are solid masses that form in the urinary tract. There are different types of renal calculi, each with its own unique features. Here are the four main types of renal calculi and their features:

    1. Calcium stones: These are the most common type of renal calculi, accounting for up to (61-75)% of all cases. They are composed of calcium oxalate or calcium phosphate and can be caused by a variety of factors such as high levels of calcium in the urine, dehydration, and certain medications. Appearance: Envelope or dumbbell shaped. Presentation age: In any age. Approx. ratio men vs women: 2:1 . Recurrence: 38%

    2. Uric acid stones: These stones are formed when there is an excess of uric acid in the urine. They account for 95-15)% of all renal calculi cases. Uric acid stones are often softer than other types of stones and can be dissolved with medication. Appearance: Amorphous or wedge shaped. Presentation age: In any age. Approx. ratio men vs women: 1:2 . Recurrence: 43%

    3. Struvite stones: These stones are also known as infection stones because they are caused by urinary tract infections. They account for (5-15)% of all renal calculi cases. Struvite stones can grow quickly and become quite large, sometimes filling the entire kidney. Appearance: Coffin-lid shaped. Presentation age: In any age. Approx. ratio men vs women: 1:3 . Recurrence: 41%

    4. Cystine stones: These stones are rare and hereditary. They account for only (1-2)% of all renal calculi cases. Cystine stones are caused by a genetic disorder that affects the way the body processes certain amino acids. Appearance: Hexagon shaped. Presentation age: most frequently in 0-20 age. Approx. ratio men vs women: 2:1. Recurrence: 89%

    5. Uric acid: They account for only (10-15)% of all renal calculi cases. Appearance: Rhomboid shaped. Presentation age: most frequently in 60-65 age. Approx. ratio men vs women: 4:1. Recurrence: 51%

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Asked: 3 years agoIn: Repertory

What are the types of repertory

ashfaq ahmed
ashfaq ahmedBegginer

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  1. Dr Md shahriar kabir B H M S; MPH
    Best Answer
    Dr Md shahriar kabir B H M S; MPH Enlightened dr.basuriwala
    Added an answer about 3 years ago

    A) Level. 1 (external formatting) 1. Book Repertories 2. Card Repertories 3. Software Packages B) Level. 2 (Internal formatting) Based on the internal formatting they are divided in: 1. Puritan group 2. Logical utilitarian group Puritan group – They are called so because the purity of the language oRead more

    A) Level. 1 (external formatting)
    1. Book Repertories
    2. Card Repertories
    3. Software Packages

    B) Level. 2 (Internal formatting) Based on the internal formatting they are divided in:

    1. Puritan group
    2. Logical utilitarian group
    Puritan group – They are called so because the purity of the language of the drug proving is maintained. They are used for the purpose of reference and not for systemic repertorisation. They help us to refer the symptoms without much variations in the language of the provers. Thes repertories are analogues to the index of the symptoms as they are presented in the materia medica.
    Kneer repertory
    Gentry’s repertory

    logical utilitarian group – are called so because of their arrangement and their utility value, they have distinct principles of their own.
    In this repertories the symptoms may not be found in the language of the materiamedica, but the symptoms change their forms to fit in to the arrangement of the repertories.
    Eg. Kent’s repertory
    Synthesis.

    C) Level. 3 Group characteristics
    The classification made on the basis of group characteristics is the most pragmatic one for selecting the repertory according to the demands of the case.

    1. General repertories
    Based on deductive logic
    Eg. Kent’s repertory
    Based on inductive logic
    Eg. Therapeutic pocket book
    Based on Clinical approach
    Eg. Repertory to Homoeopathic MM by Oscar E Boerick

    2. Regional repertories
    Dealing with the organs
    Eg. Berridges Repertory to Eye
    Dealing with the system
    Eg. Morgan’s repertory to urinary organs

    3. Particular repertories
    Dealing with particular states
    Eg. Repertory to time modalities
    Dealing with the particular diseased condition
    Eg.Repertory of diarrhoea By Bell james

    4. Alphabetical repertories
    The symptoms are arranged in alphabetical order
    Eg. Repertory to Homoeopathic MM By Pathak

    5. Concordance repertories
    Repertory of Concordance by Kneer

    6. Comparative repertories
    Comparative repertory of Hom.MM by Docks & Kockelenberg

    7. Pathogenic repertory
    Repertory to Cyclopedia of drug pathogenesy by Richard Huges

    8. Reference repertories
    Select your remedy by Biswamber das

    9. Therapeutic digests
    Raue’s special pathology & therapeutics

    10. Card repertories
    Kishore’s cards

    11. Computer repertories
    Cara,Radar,Hompath

    GENERAL REPERTORIES
    The general repertories are logical utilitarian repertories
    Useful for individualization as desired by the principles of Homoeopathy
    They facilitate the adapt ion of general symptom for repertorisation.

    3 major groups

    1. Based on deductive logic
    Here the generals are given prime importance, then follows characteristics particulars. The analysis of the case for these repertories is also based on the premise of the deductive logic, where the generals symptoms are given higher ranking than the particular symptoms.
    Eg. Kent’s repertory, Synthesis
    Synthetic repertory also adopted the principles of deductive logic but do not included particular symptoms, it deals exclusively with particular symptoms.

    2. Based on inductive logic
    Means from particulars to generals
    In these repertories the different elements of a symptom like location sensation modality & concomitants can be brought together on the basis of certain constants & and a general symptom can be constructed .The resulting general symptom is called a Synthetic general
    When there is a particular sensation that is expressed at more than two location at any given time, the sensation can be elevated to the level of a general symptom, provided the modalities remain the same for all the locations expressing that sensation. If a concomitant is also present the generalization become stronger
    Eg. TPB is based on doctrine of analogy & concomitant Boger’s repertory operates on complete symptom Synoptic key by Boger give important to pathological generals

    3.Clinical repertories
    These repertories have many clinical rubrics under different systems, and the medicines are given against the name of the disease.
    As in the general repertories the clinical repertories also cover the therapeutic information for the whole of the organism & come under logical utilitarian group.
    The construction of these repertories affords the flexibility of adopting either the deductive or inductive logic at any given time, and highly useful when there is a significant amount of clinical data available in a case.
    Eg. Clinical repertory by J.H.Clark
    The prescriber by J.H.Clark

    !!. Regional repertories
    Regional repertories mainly focus on the information relevant to a particular system or a region. They are mainly used for reference purposes, not for individualisation, but having the advantage of elaborating on a particular theme witha high degree of specificity.
    Eg. Berridg’s eye
    Morgan’s urinary organs

    iii. Particular repertories
    These repertories are based on clinical orientation, focused on certain particular states or particular diseased condition. The specific state may be a modifying factor. This repertories also affords a high degree of specification in the particular area.
    Eg. Time modalities by Shedd.P.V
    Diarrhoea by Bell james

    iv. Alphabetical repertories
    The symptoms in this repertories are arranged in a alphabetical order. This repertories are qualifying as general repertories to a reference book.
    Eg. General alphabetical repertories
    Murphy’s repertory
    Pathak repertory
    Clinical alphabetical repertories
    The presciber by Clark
    Reference repertories
    Highlights of Homoeopathic practice by T.P.Chatterjee

    V. Concordance repertories
    Word meaning In agreement or In harmony
    OR
    An index of words or passages of a book or an author
    Here the medicine is analyzed for its relationship with other medicines at different levels and at different spheres.
    Logical utilitarian repertories are popular as repertories and the puritan repertories are known as Concordance repertories or Concordances.
    These repertories are comprised of mainly of the symptoms in the language of the provers, the whole symptoms expressed by the patient may be obtained as a single unit in these books. The demerit is that the search is very difficult & time consuming.

    VI. Comparative repertoris
    This is one of the latest repertories, which is aimed to assist the user in differentiating the medicines with in the rubric, often this save the labor of consulting the materia medica for the differential references.
    This repertory is a beginning of a movement for improving the service of repertory use. The comparative repertory is deficient in data, because all the remedies are not compared and differentiated.
    Eg. Comparative repertory by Docks & Kockelenberg.

    V11. Pathogenic repertories
    This is an index to the symptoms as presented during the drug proving. This repertory is useful when the pathological changes form the only available database in a case.
    Also useful in case where the differentiation of the medicines and prescription of the appropriate remedy has to be made only on the basis of the objective symptoms.
    In concordance repertories the symptoms are written in the language of the provers _ the verbal expression.
    But in the pathogenic repertories the expression at the level of altered physiological phenomena & the pathological process are explained.
    Eg. Repertory of drug pathogenesy By Richard Huges.

    VII. Reference repertories
    These are not repertories in strict sense, but these books are handy for prescribing in acute cases and in cases with insufficient data.
    They are used as ready recokners for assessing the information about a symptom or a condition with certain constant features.
    Eg. Qiuck bed side presciber by Singhal

    V111. Therapeutic digests
    These are miniature versions of repertories and deals mainly with a particular clinical condition.
    Eg. Raue’s Special pathology & therapeutic hints.

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