CLINICAL REPERTORY DICTIONARY OF MATERIA MEDIC –DR.J.H.CLARKE
A CLINICAL REPERTORY TO THE DICTIONARY OF MATERIA MEDICA – DR. J.H. CLARKE
INTRODUCTION
Aim : To find the similimum in shortest time with available information collected. Repertory is the tool for achieving the goal but selection of repertory depends on the case. Many a times general repertories fail to find the similimum and special repertories provide a clue to a remedy. Among the special repertories, the credit of authoring the first useful Clinical Repertory goes to Dr. J.H. Clarke.
AUTHOR – DR. J.H. CLARKE
DR. J.H. CLARKE (1853- 1931)
Dr. John Henry Clarke was born in 1853. He took his M.B., C.M. at Edinburgh University in 1875 as Gold Medalist in several subjects followed with M.D. in 1877.
He was one of the most well-known Homoeopaths of England. He was a consulting physician to the London Homoeopathic hospital.
In May 1885, he became the editor of “ The Homoeopathic World” and held the post for 29 years.
He was a keen observer of Dr. Burnett.
CONTRIBUTIONS IN HOMOEOPATHY
• Catarrah, cold and grippe
• Cholera, diarrhoea and dysentry
• Clinical repertory to the dictionary of materia medica
• Constitutional medicine
• Dictionary of practical materia medica (3volumes)
• Gun powder as a war remedy
• Haemorrhoids and habitual constipation
• The prescriber
• Therapeutics of cancer
• The cure of tumors etc.
CLINICAL REPERTORY TO THE DICTIONARY OF MATERIA MEDICA
• Published in 1904.
• Based on “The Dictionary of Practical Materia Medica”.
• Dr. Clarke describes it “as being designed for use in the study of the Materia Medica and an instrument for finding out the indicated remedies.”
• To extend the usefulness of this book 4 other repertories have been added.
PLAN AND CONSTRUCTION
Book starts with a dedication to his friend-
Dr. Robert Thomas Cooper.
Followed by-
• Preface
• Contents table
• List of remedies with abbreviations
• Alphabetical list of abbreviations with remedies
• 5 parts/ sections with an introductory note to each part.
PLAN AND CONSTRUCTION CONTD.
The five parts of the repertory are –
• A Clinical Repertory
• Repertory of Causation
• Repertory of Temperaments, Dispositions, Constitutions and States
• Clinical Relationships
• Repertory of Natural Relationships
Dr. Clarke has followed Cypher repertory for remedy abbreviations. For acids ‘x’ is used.
E.g. Nt. x.- Nitric acid. Every time a medicine is mentioned it begins with a Capital letter and the second part with small letter. Thus, it will be impossible to make mistake where the remedy ends and the other begins.
PLAN AND CONSTRUCTION CONTD.
Number of drugs – 1067 (Dr. Harinadham), 1063 and 52 repetitions (Dr. Tiwari), 1068 and 54 repetitions (in list of remedies), thus actual number 1014.
1019 in List of abbreviations.
Gradation – only one grade. In Part I, 2 typographies are used – Normal roman and Italics for those drugs which are present under some clinical conditions in both Dictionary of Materia medica and The prescriber (6th edition). Drugs in brackets signify that they were added in Clarke’s personal copy of Dictionary of Materia medica later.
1. A CLINICAL REPERTORY
In the introduction Dr. Clarke mentioned the preface from the Dictionary of Materia medica, regarding the heading Clinical in each remedy. Under each remedy some clinical conditions are mentioned in which that particular drug is found to be useful.
He says, “All ways of finding indications are open to practitioners, and the clinical avenue is one of them. Certain diseases come to have certain remedies assigned to them and all patients suffering from any given disease must be dosed with one of the remedies credited to it.”
1. A CLINICAL REPERTORY CONTD.
Rubrics and subrubrics are arranged alphabetically. Gap is present where the rubrics are starting with a new alphabet. Rubrics – Bold, each word starts with capital letter except the prepositions etc.
Sub-rubrics – normal CAPITALS.
Cross-references – i) See also – for main rubric
ii) (See also) – for sub-rubric
Both the types have drugs mentioned under them.
iii) See – drugs are mentioned under the rubric mentioned after See. E.g. Caruncle.
1. A CLINICAL REPERTORY CONTD.
Certain mistakes –
• Some sub-rubrics are given in bold roman letters. E.g. under Gouty concretions, Spinal exhaustion.
• Misplaced rubrics – Some rubrics to be present under –
Causation – Anger, effects of
Asthma, anger from
Temperaments – Egotism, Haemorrhagic diathesis, Hydrogenoid constitution etc.
• Miasms mentioned – Psora, Sycosis, Syphilis
• Spelling mistake – Cardias instead of Cardiac
• Fever rubric is scattered.
2. REPERTORY OF CAUSATION
Dr. Clarke indexed all the causations given under various drugs in the dictionary of Materia medica into this part. He mentions – “Many remedies are related to the effects of certain conditions. This is not just the same thing as aggravation, though allied to it and sometimes identical with it.”
When a cause is associated with any particular effect, that effect is placed in brackets and precedes name of the remedy which corresponds to it.
E.g. Autum – (epidemics of spasmodic cough) Cep.
2. REPERTORY OF CAUSATION CONTD.
Rubrics – Bold roman, arranged alphabetically.
Sub-rubrics – Normal romans, arranged alphabetically, mostly with single indentations, except Wet, Getting (Page 152).
Cross-references – i) See also – for sub-rubrics.
ii) (See also) – for both rubrics and sub-rubrics.
iii) See – those without remedies.
Confusing prospects –
Over-exertion – (= agalactia, Caus.)
‘=‘ means causes/ leads to, but its not required as such.
3. REPERTORY OF TEMPRAMENTS
The remedies which have been found to act most beneficially in certain types of persons, temperaments, sex and age are listed here. It also includes complaints and conditions of particular types of persons and constitutions. In the Dictionary these are given under characteristics under description “Suited to”.
Rubrics – same as in previous chapters.
Sub-rubrics – Normal roman, single indentations present except under Digestive Powers, Feeble and Young.
Cross-references – i) See also – for main rubrics.
ii) (See also) – for rubric & sub-rubric.
iii) See – for those without remedies.
iv) (See also PART) – for cross-reference in other part.
REPERTORY OF TEMPRAMENTS COND.
Misplaced rubrics – Epilepsy to be kept under Clinical repertory, Mercury, People who have taken much; to be under Causation.
Special features – Some rubrics are well represented, e.g. Babies, Children, Constitution, Disposition, Girls or Women etc.
In Preface Dr. Clarke mentions ‘suited to’ also include complaints occurring in persons of particular age and type, so that this section becomes a complement of the Clinical repertory. Therefore, who may not find remedy he is in search of in the Clinical repertory, may possibly find in this part under the heading of the complaint the patient is suffering from.
4. CLINICAL RELATIONSHIPS
This part gives chief Clinical relationships of all remedies of Materia medica so far as they have been noted. In compiling this table Dr. Clarke has made use of the table published by Dr. Gibson Miller in the Homoeopathic world of Sept. 1902.
The table has following headings –
• Remedy
• Complementary remedies
• Remedy follows well
• Remedy is followed well by
• Compatible remedies
• Incompatible remedies
• Remedy antidotes
• Remedy is antidoted by
• Duration of action
• Remedy
4. CLINICAL RELATIONSHIPS CONTD.
“Compatible” is a generic term which includes Complementary remedies, those which the remedy “follows well” and those which it is “followed well by” but here it has been included because some remedies have been noted to be compatible with others, without further qualification.
Many columns are empty as their clinical relationships had not been noted, spaces are thus provided for the insertion of their related remedies when found later on in practice.
4. CLINICAL RELATIONSHIPS CONTD.
Duration of remedies have been mentioned so far as these have been noted.
Under each column for certain remedies some specifications are given which make the relationship clear and more useful in clinical practice.
e.g. Complementary remedies for Aconite – Arnica for Bruises, injury to eye.
Remedy follows well Abrotanum – Aco. And Bry. In pleurisy.
Remedy antidotes – Ba. m. (sometimes)
5.REPERTORY OF NATURAL RELATIONSHIPS
The Homoeopathic Materia medica consists potentially anything and everything that may be found in the universe. This part shows at a glance the place in nature of any remedy in question.
The remedies are arranged in different kingdoms in the order of their natural kinship. The list comprises of –
• Metals or Elements –
• Alphabetical list with atomic weight.
• Order of atomic weights with group number, GI, GII
• Groups according to Mendeleeff (Periodic table)
Number of remedies = 56.
5.REPERTORY OF NATURAL RELATIONSHIPS
ii) Vegetable kingdom – two lists are given –
• Natural orders in alphabetical order and under each name all the remedies of the order are alphabetically given.
• Natural orders in systematic or evolutionary order. It consists of list of natural botanical orders represented in the Materia medica. Kingdom Division Sub-division Class Sub-class Series Genera Species.
The alphabetical list is distinguished by numbers which correspond with the number of Systematic list, so that the place of any remedy in each list can at once be found and the other related genera and remedies under it can be compared. Number of remedies=170.
5.REPERTORY OF NATURAL RELATIONSHIPS
iii) Animal kingdom – A similar arrangement as that of vegetable kingdom. For systematic list, the arrangement is governed mainly by Francis P. Pascoe’s “zoological classification”. Kingdom Sub-kingdom Class. Number of remedies = 64.
iv) Sarcodes – Remedies prepared from healthy animal tissues and organs. Dr. Clarke calls them ‘Flesh remedies’. These are divided in 2 categories-
• Prepared from healthy animal tissues and secretions. E.g. Adrenalinum, Calcarea carbonica.
• Preparations derived from healthy animal tissues and secretions. E.g. Cholestrium, Urea, Uricum acidum. Number of remedies = 37.
5.REPERTORY OF NATURAL RELATIONSHIPS
v) Nosodes – Remedies derived from morbid tissues and secretions containing the specific virus of diseases. They are listed under two heads –
• Animal – e.g. Bacillinum, Psorinum.
• Vegetable – e.g. Ergotinum, Secale cornutum.
Number of remedies = 22.
Total number of remedies in this part = 737.
(According to Dr. Harinadham’s book = 1011)
SCOPE
• Useful in studying Materia Medica.
• Useful as a quick reference book at bed side.
• Useful in finding the similimum for cases with Clinical diagnosis and lack of generals and characteristics; or cases with few symptoms.
• Contains few rubrics which are not found in other general repertories. E.g. Mistrustful when sick – Lyc., Negroes – Sul., Critical period of life, and Pubescence – Sep., Pepper, persons adicted to – Nux. v.
5. Clinical relationship section helps to choose the next best remedy for the case as conditions and clinical hints are given in certain remedies and its related remedies.
LIMITATION
• Relatively rare drugs are given against some rubrics and some important drugs are missing.
e.g. – Blood poisoning – Ech. a., Trac. Ars., Lach. and Pyro. are missing.
Hepatitis – Act. s. Nat. sul is missing. Even in Liver affections Nat. sul. Is not found.
Climacteric, The – 11 drugs are mentioned but Lach. is missing.
2. Certain misplaced rubrics and other mistakes already mentioned.
3. Many rubrics are repeated which seem to be unnecessary. E.g. Children, cross and Cross, children
CONCLUSION
As rightly said by Dr. Clarke, “ Homoeopathic practice consists in knowledge of Materia medica and knowledge how to use it. This demands unlimited patience and application in the study of drug comparisons”.
His repertory gives us an opportunity to compare the drugs and then apply this knowledge to prescribe. This repertory is also very useful reference book at bed side in cases where its difficult to case in details.
INTRODUCTION
Aim : To find the similimum in shortest time with available information collected. Repertory is the tool for achieving the goal but selection of repertory depends on the case. Many a times general repertories fail to find the similimum and special repertories provide a clue to a remedy. Among the special repertories, the credit of authoring the first useful Clinical Repertory goes to Dr. J.H. Clarke.
AUTHOR – DR. J.H. CLARKE
DR. J.H. CLARKE (1853- 1931)
Dr. John Henry Clarke was born in 1853. He took his M.B., C.M. at Edinburgh University in 1875 as Gold Medalist in several subjects followed with M.D. in 1877.
He was one of the most well-known Homoeopaths of England. He was a consulting physician to the London Homoeopathic hospital.
In May 1885, he became the editor of “ The Homoeopathic World” and held the post for 29 years.
He was a keen observer of Dr. Burnett.
CONTRIBUTIONS IN HOMOEOPATHY
• Catarrah, cold and grippe
• Cholera, diarrhoea and dysentry
• Clinical repertory to the dictionary of materia medica
• Constitutional medicine
• Dictionary of practical materia medica (3volumes)
• Gun powder as a war remedy
• Haemorrhoids and habitual constipation
• The prescriber
• Therapeutics of cancer
• The cure of tumors etc.
CLINICAL REPERTORY TO THE DICTIONARY OF MATERIA MEDICA
• Published in 1904.
• Based on “The Dictionary of Practical Materia Medica”.
• Dr. Clarke describes it “as being designed for use in the study of the Materia Medica and an instrument for finding out the indicated remedies.”
• To extend the usefulness of this book 4 other repertories have been added.
PLAN AND CONSTRUCTION
Book starts with a dedication to his friend-
Dr. Robert Thomas Cooper.
Followed by-
• Preface
• Contents table
• List of remedies with abbreviations
• Alphabetical list of abbreviations with remedies
• 5 parts/ sections with an introductory note to each part.
PLAN AND CONSTRUCTION CONTD.
The five parts of the repertory are –
• A Clinical Repertory
• Repertory of Causation
• Repertory of Temperaments, Dispositions, Constitutions and States
• Clinical Relationships
• Repertory of Natural Relationships
Dr. Clarke has followed Cypher repertory for remedy abbreviations. For acids ‘x’ is used.
E.g. Nt. x.- Nitric acid. Every time a medicine is mentioned it begins with a Capital letter and the second part with small letter. Thus, it will be impossible to make mistake where the remedy ends and the other begins.
PLAN AND CONSTRUCTION CONTD.
Number of drugs – 1067 (Dr. Harinadham), 1063 and 52 repetitions (Dr. Tiwari), 1068 and 54 repetitions (in list of remedies), thus actual number 1014.
1019 in List of abbreviations.
Gradation – only one grade. In Part I, 2 typographies are used – Normal roman and Italics for those drugs which are present under some clinical conditions in both Dictionary of Materia medica and The prescriber (6th edition). Drugs in brackets signify that they were added in Clarke’s personal copy of Dictionary of Materia medica later.
1. A CLINICAL REPERTORY
In the introduction Dr. Clarke mentioned the preface from the Dictionary of Materia medica, regarding the heading Clinical in each remedy. Under each remedy some clinical conditions are mentioned in which that particular drug is found to be useful.
He says, “All ways of finding indications are open to practitioners, and the clinical avenue is one of them. Certain diseases come to have certain remedies assigned to them and all patients suffering from any given disease must be dosed with one of the remedies credited to it.”
1. A CLINICAL REPERTORY CONTD.
Rubrics and subrubrics are arranged alphabetically. Gap is present where the rubrics are starting with a new alphabet. Rubrics – Bold, each word starts with capital letter except the prepositions etc.
Sub-rubrics – normal CAPITALS.
Cross-references – i) See also – for main rubric
ii) (See also) – for sub-rubric
Both the types have drugs mentioned under them.
iii) See – drugs are mentioned under the rubric mentioned after See. E.g. Caruncle.
1. A CLINICAL REPERTORY CONTD.
Certain mistakes –
• Some sub-rubrics are given in bold roman letters. E.g. under Gouty concretions, Spinal exhaustion.
• Misplaced rubrics – Some rubrics to be present under –
Causation – Anger, effects of
Asthma, anger from
Temperaments – Egotism, Haemorrhagic diathesis, Hydrogenoid constitution etc.
• Miasms mentioned – Psora, Sycosis, Syphilis
• Spelling mistake – Cardias instead of Cardiac
• Fever rubric is scattered.
2. REPERTORY OF CAUSATION
Dr. Clarke indexed all the causations given under various drugs in the dictionary of Materia medica into this part. He mentions – “Many remedies are related to the effects of certain conditions. This is not just the same thing as aggravation, though allied to it and sometimes identical with it.”
When a cause is associated with any particular effect, that effect is placed in brackets and precedes name of the remedy which corresponds to it.
E.g. Autum – (epidemics of spasmodic cough) Cep.
2. REPERTORY OF CAUSATION CONTD.
Rubrics – Bold roman, arranged alphabetically.
Sub-rubrics – Normal romans, arranged alphabetically, mostly with single indentations, except Wet, Getting (Page 152).
Cross-references – i) See also – for sub-rubrics.
ii) (See also) – for both rubrics and sub-rubrics.
iii) See – those without remedies.
Confusing prospects –
Over-exertion – (= agalactia, Caus.)
‘=‘ means causes/ leads to, but its not required as such.
3. REPERTORY OF TEMPRAMENTS
The remedies which have been found to act most beneficially in certain types of persons, temperaments, sex and age are listed here. It also includes complaints and conditions of particular types of persons and constitutions. In the Dictionary these are given under characteristics under description “Suited to”.
Rubrics – same as in previous chapters.
Sub-rubrics – Normal roman, single indentations present except under Digestive Powers, Feeble and Young.
Cross-references – i) See also – for main rubrics.
ii) (See also) – for rubric & sub-rubric.
iii) See – for those without remedies.
iv) (See also PART) – for cross-reference in other part.
REPERTORY OF TEMPRAMENTS COND.
Misplaced rubrics – Epilepsy to be kept under Clinical repertory, Mercury, People who have taken much; to be under Causation.
Special features – Some rubrics are well represented, e.g. Babies, Children, Constitution, Disposition, Girls or Women etc.
In Preface Dr. Clarke mentions ‘suited to’ also include complaints occurring in persons of particular age and type, so that this section becomes a complement of the Clinical repertory. Therefore, who may not find remedy he is in search of in the Clinical repertory, may possibly find in this part under the heading of the complaint the patient is suffering from.
4. CLINICAL RELATIONSHIPS
This part gives chief Clinical relationships of all remedies of Materia medica so far as they have been noted. In compiling this table Dr. Clarke has made use of the table published by Dr. Gibson Miller in the Homoeopathic world of Sept. 1902.
The table has following headings –
• Remedy
• Complementary remedies
• Remedy follows well
• Remedy is followed well by
• Compatible remedies
• Incompatible remedies
• Remedy antidotes
• Remedy is antidoted by
• Duration of action
• Remedy
4. CLINICAL RELATIONSHIPS CONTD.
“Compatible” is a generic term which includes Complementary remedies, those which the remedy “follows well” and those which it is “followed well by” but here it has been included because some remedies have been noted to be compatible with others, without further qualification.
Many columns are empty as their clinical relationships had not been noted, spaces are thus provided for the insertion of their related remedies when found later on in practice.
4. CLINICAL RELATIONSHIPS CONTD.
Duration of remedies have been mentioned so far as these have been noted.
Under each column for certain remedies some specifications are given which make the relationship clear and more useful in clinical practice.
e.g. Complementary remedies for Aconite – Arnica for Bruises, injury to eye.
Remedy follows well Abrotanum – Aco. And Bry. In pleurisy.
Remedy antidotes – Ba. m. (sometimes)
5.REPERTORY OF NATURAL RELATIONSHIPS
The Homoeopathic Materia medica consists potentially anything and everything that may be found in the universe. This part shows at a glance the place in nature of any remedy in question.
The remedies are arranged in different kingdoms in the order of their natural kinship. The list comprises of –
• Metals or Elements –
• Alphabetical list with atomic weight.
• Order of atomic weights with group number, GI, GII
• Groups according to Mendeleeff (Periodic table)
Number of remedies = 56.
5.REPERTORY OF NATURAL RELATIONSHIPS
ii) Vegetable kingdom – two lists are given –
• Natural orders in alphabetical order and under each name all the remedies of the order are alphabetically given.
• Natural orders in systematic or evolutionary order. It consists of list of natural botanical orders represented in the Materia medica. Kingdom Division Sub-division Class Sub-class Series Genera Species.
The alphabetical list is distinguished by numbers which correspond with the number of Systematic list, so that the place of any remedy in each list can at once be found and the other related genera and remedies under it can be compared. Number of remedies=170.
5.REPERTORY OF NATURAL RELATIONSHIPS
iii) Animal kingdom – A similar arrangement as that of vegetable kingdom. For systematic list, the arrangement is governed mainly by Francis P. Pascoe’s “zoological classification”. Kingdom Sub-kingdom Class. Number of remedies = 64.
iv) Sarcodes – Remedies prepared from healthy animal tissues and organs. Dr. Clarke calls them ‘Flesh remedies’. These are divided in 2 categories-
• Prepared from healthy animal tissues and secretions. E.g. Adrenalinum, Calcarea carbonica.
• Preparations derived from healthy animal tissues and secretions. E.g. Cholestrium, Urea, Uricum acidum. Number of remedies = 37.
5.REPERTORY OF NATURAL RELATIONSHIPS
v) Nosodes – Remedies derived from morbid tissues and secretions containing the specific virus of diseases. They are listed under two heads –
• Animal – e.g. Bacillinum, Psorinum.
• Vegetable – e.g. Ergotinum, Secale cornutum.
Number of remedies = 22.
Total number of remedies in this part = 737.
(According to Dr. Harinadham’s book = 1011)
SCOPE
• Useful in studying Materia Medica.
• Useful as a quick reference book at bed side.
• Useful in finding the similimum for cases with Clinical diagnosis and lack of generals and characteristics; or cases with few symptoms.
• Contains few rubrics which are not found in other general repertories. E.g. Mistrustful when sick – Lyc., Negroes – Sul., Critical period of life, and Pubescence – Sep., Pepper, persons adicted to – Nux. v.
5. Clinical relationship section helps to choose the next best remedy for the case as conditions and clinical hints are given in certain remedies and its related remedies.
LIMITATION
• Relatively rare drugs are given against some rubrics and some important drugs are missing.
e.g. – Blood poisoning – Ech. a., Trac. Ars., Lach. and Pyro. are missing.
Hepatitis – Act. s. Nat. sul is missing. Even in Liver affections Nat. sul. Is not found.
Climacteric, The – 11 drugs are mentioned but Lach. is missing.
2. Certain misplaced rubrics and other mistakes already mentioned.
3. Many rubrics are repeated which seem to be unnecessary. E.g. Children, cross and Cross, children
CONCLUSION
As rightly said by Dr. Clarke, “ Homoeopathic practice consists in knowledge of Materia medica and knowledge how to use it. This demands unlimited patience and application in the study of drug comparisons”.
His repertory gives us an opportunity to compare the drugs and then apply this knowledge to prescribe. This repertory is also very useful reference book at bed side in cases where its difficult to case in details.
hi, new to the site, thanks.
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