Practical Repertory

The Practical Repertory is part of the Jain Pack of books which are exclusively available for use with the Vision system. Here is an explanation of the need for a new Practical Repertory from Pravin Jain: 

Introduction 
Over the years there have been many advances in the various repertories, most adding many more medicines and more rubrics. However from the perspecitive of practical results, long lasting cures have not, in my opinion, been satisfactory. Cures in 'psoric' cases were certainly demonstrated, but in syphilitic cases, for example, the practical results were not satisfactory. In recent years we have all seen a general decline of homeopathy and homeopathic results. So I felt there was a need to reinvent the approach. 

I have found that the more remedies that were added to the repertories the lesser the cure. In my opinion unnecessary additions of unverified remedies in rubrics have only created more confusion.

Case analysis
I decided to analyse almost 10,000 cases between 2012 and 2018 from the HomoeoCare group of clinics across India and found:

33% were pediatric cases and only 5% were acute cases. 17% were Menstrual complaints, 14% were Hormonal complaints, 11% were Joint complaints, 13% were 'Lifestyle' disorders and 8% were Pathological cases.

I then studed all of the Vision repertorisation charts used in these cases and found that only 500 different, unique rubrics were used in all of these cases. Yes, only 500 unique rubrics were used in 10,000 cases! This means we were using less than 1% of the existing rubrics available to us in other repertories.

Approach to prescribing
In my personal experience, prescriptions based primarily on 'particulars' are far less effective. Even if there was an initial result any improvements were not long lasting.  When I based my prescriptions  on the Mentals and Generals this gave a much better result.  Certainly a miasmatic understanding of the pathology also gives a better result. I have found that in pathological cases a good result can be achieved if the pathology is part of the totality repertorised.

These are my personal experiences as I have tried several different methods in my clinics and analysed the efficacy of each. 

Basis for a new repertory
I have avoided Particular rubrics in all chapters except for those actually pertaining to a body part (where you must have them of course) – and instead I have used more 'general' rubrics. I have used only verified and sourced remedies. (Repertories used as the source basis were: Boger Boennninghausen (BBCR), Knerr, Boericke and Phatak. 

I utilised a better chapter structure  -  as an easier to use structure helps the homeopath take less time to select the remedies. 

Rubrics
This new repertory is based more on the Boenninghausen concept of a Grand Generalisation. As an example consider these rubrics:

Observe how the finer 'differentiation' of similar mental rubrics occurs in  a modern repertory such as Combined. In my Practical Repertory I avoided this and have combined them to make just one rubric where the homeopath does not have to worry about chosing exactly the 'right one' (see below for the rubric in Vision)

Chapters and structure

A mixed layout is used. The order of chapters in the repertory is influenced by the relative value of symptoms from most important to least important. So the most important chapters are listed first as a guide to the homeopath. The most important chapters 'Ailments From' and 'Cause-Effect' are listed at the very top to indicate to the homoepath that when these are present in the case they are highly significant.

Then come the chapters related to the Mind, i.e. Mind, Intellect and Delusions.

After these I then decided to use separate chapters for the following to stress their importance in regular use and to make them more easily accessible to homeopaths:

  • Children
  • Infants
  • Food and Drinks
  • Fever (Acutes)
  • Injury

In cases where the Syphilitic miasm was prominent and where there was a lot of pathological symptoms and conditions I experienced much better results  when these are used in totality. Therefore in the chapters relating to body parts (the particulars chapters) I have utilised pathological general rubrics rather than listing each and every individual pathological rubric (as per larger repertories). The result is a much easier to use set of particular chapters.

After the particulars/body parts chapters I decided to include a set of seperated chapters to make these easier to access. These are for example, Locations, Sensations, Modalities, Tissues Miasmatic, Inflammation and Cancer.

The Modalities, specifically, are often used in practice as eliminating or differentiating symptoms and are better accessed seperately. What is true for a part of the body is more often true for the whole body (Yes, there may be the odd exception but this is generally true).

The new chapter called Tissues, Miasmatic is especially for those who prescribe based on the work of Vijayarkar. This teaches that PSORA – means inflammation, SYCOSIS – means growth and SYPHILIS – means destruction (this is based on Dr. Vijayakars book on Miasms). So if you see a specific disease you can determine which miasm is active on the affected tissues and then take the corresponding rubric.

Finally I added chapers on Constitution, Associated Diseases and Alternating Diseases. Where present and well defined these offer rubrics that can quickly point you directly to indicated remedies

Dr Pravin Jain
Mumbai, India

(edited and arranged by David Witko)