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Asked: 2020-10-18T05:44:14+06:00 In:

What are the disadvantage of of using repertory?

Nasim
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    1. Dr Md shahriar kabir B H M S; MPH
      Enlightened dr.basuriwala

      Here are some of the common drawbacks practitioners encounter when they rely heavily on a repertory: • Time-consuming & elaborate for new users Beginners often find manual repertorisation slow and painstaking, especially when the rubric hierarchy or grades aren’t yet second nature. • “Tick-box”Read more

      Here are some of the common drawbacks practitioners encounter when they rely heavily on a repertory:

      • Time-consuming & elaborate for new users
      Beginners often find manual repertorisation slow and painstaking, especially when the rubric hierarchy or grades aren’t yet second nature.

      • “Tick-box” mentality
      Over-reliance on repertory rubrics can lead to forcing a patient’s story into predefined categories instead of listening openly to the full case.

      • Mechanical over art
      The art of intimate case-taking—picking up nuances in voice, gesture or metaphor—can get sidelined once the focus shifts to charting rubrics.

      • Rubric ambiguity & overlap
      Many symptoms could live in multiple rubrics (e.g. “anxiety ameliorated by motion” vs. “anxiety relieved by movement”), causing confusion or mis-selection.

      • Statistical bias toward “big” remedies
      Remedies with hundreds of rubrics (e.g. Sulphur, Lycopodium) tend to outscore sparsely-rubricated ones, even if a less-listed remedy might be a better constitutional fit.

      • Editorial errors & outdated entries
      No repertory is perfect—typos, mis-spellings, antiquated remedy names or unverified symptoms creep in over successive editions.

      • Shallow weighting of symptoms
      Numeric grades (1–3) don’t always reflect clinical importance; a pathognomonic keynote and a very common symptom can look equally “strong” on paper.

      • Dependency on software updates
      Digital repertories require constant database maintenance to add newly proved remedies; stagnant print editions fall further behind.

      • Risk of polypharmacy
      Literal summation of every rubric’s remedies may tempt prescribers into complex combination prescribing rather than the single simillimum.

      • May discourage materia-medica depth
      Habitual repertorisation can erode the habit of really knowing a remedy’s life story, proving quotes and deepest themes—knowledge that often distinguishes a good prescription from a great one.

      Being aware of these pitfalls helps you use the repertory as a precision tool rather than a crutch—and keep your case-taking truly patient-centered.

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