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Sunday, January 10, 2010

MECHANICAL AIDED REPERTORY:

Posted by Anonymous
• It is difficult for a homeopath to remember all the huge works of the masters.
• To solve this problem masters have prepared books with specific symptoms related to a remedy in few key points –Repertory.
• But this is not the final solution for selection of similimum. Because to do Repertorization manually it takes many hours.
• It was at this time that many pioneers started to contemplate on idea of putting most commonly used generals symptoms and particular symptoms on a piece of paper- Card Repertories
• Computer technology has totally changed the way of thinking the field of Alternative Medicine like Homeopathy, it has taken computers into its fold.
• In homoeopathy, which is benefited most is the repertory, by working out a case in shortest time and arriving at the similimum is at the fingertip.
• In the year 1982, some Homeopaths from USA and Britain had tried to solve this problem by using computers in homeopathic repertorization and for the first time they designed computer program.
• With the help of computer program homeopaths are now able to get each line of the required information in both Repertories and Materia Medica.

• After emergence of software there are different software available to the Profession and each one has got its unique features.
• Like repertories computers are also gives the information what we feed, so one must have thorough knowledge, study in depth, and acquaintance with the software for doing Repertorization and to utilize them properly.
• So we need to know what are the mechanical aided repertories available to the profession. The details about those software’s will help us to choose the right one.

MECHANICALLY AIDED REPERTORY
In this type mechanical assistance is required to use various repertories.
• Auto visual miasmatic repertory
• Auto visual homoeopathic repertory
• Though the name of the book repertory has been given, but actually it is a device of repertorization, formulated by Dr. Ramanlal P. Patel of Kollyan, Kerala, India.
• Auto visual homoeopathic repertory is mechanized computer developed by Dr. Ramanlal P. Patel in 1972. Auto visual repertory is more cheap, simple, and most reliable than present day complex computer.


CONSTRUCTION OF AUTO VISUAL REPERTORY

This repertory has two main components:
1). Auto strip.
2). Auto visual apparatus.

AUTO STRIP
• In this repertory there are 5505 auto strips.Each auto strip has a number 1,2,3,4 on the top representing rubrics based on Kent’s repertory. In many places auto strips are marked A, B, C along with numbers like, 70a, 104b, 131b etc. these are new additions in Kent’s repertory.auto strips are grooved at several places. Each groove on the auto strip represents corresponding homoeopathic medicines in apparatus. Grooves are different colors indicating grading of medicines. E.g. BOLD CAPITAL- red colored, italics- yellow color, roman-black color. These grades are compared with BTPB grading.

• Besides this there are 2 heavy grooves (green) one at the top and one at the bottom of the auto strip as guidelines to match with the guidelines of auto visual apparatus. Also by different colures of number symptoms are graded as Generals- Red colored, Particulars- Black colored, which help for selection of symptoms for Repertorization.

AUTO VISUAL APPARATUS
• This apparatus is based on Hahnemann’s original hand written repertory. Where all symptoms must be written in such a way that one can separate every one of them by cutting them up and pasting them in alphabetical order for the purpose of printings.
• Auto visual apparatus is something just like idea of Haemoglobinometer, where the percentage is counted by matching the lines of scale with measuring test -tube.

Dr. Patel has prepared the 3rd apparatus it’s nothing but the hand book of repertory which contain their rubric with their code numbers, arranged in systemic manner with an index. For easy reference in both cases the page numbers of Kent’s repertory are given along side.
This apparatus has 435 medicines on it in numerical order from above downwards. Each medicine is provided with code number. This apparatus is constructed in such a way that just likes arrangement of auto strips. The strips are put in to a reading device, which stakes them allowing the lines to be seen clearly. Lines are which common to majority auto strips originated from code number of medicines, are considered as group of indicated remedies for given case.

This group is considering for final differentiation with Materia Medica. The wooden box, filled with the 5505 plastic strips, is about 2 feet square and 7 inches deep, made from a very dense native Indian wood; it weighs close to 90 pounds.
WORKING
• After case taking, evaluations and eliminations of the unimportant symptoms
• Refer the selected symptoms as rubrics in the handbook of Auto visual homoeopathic repertory with their code numbers auto strips numbers representing the selected rubrics are taken out from the auto strip box.
• Arrange the rubrics numbers in the order of importance.

CALCULATOR TECNIQUE
• This is actually not a machine. It is a simple book working like a calculator and it contains two parts:
1). The Rubric part.
2). The Calculator part.
• Rubric part contains the rubrics with their code Nos arranged in a definite process, so that hunting the rubrics and their code numbers become easy.
• Calculator part contains the names of the medicines as headings of the chapter, which are subdivided into several sub chapters according to the calculator.
• After evaluating the rubrics, record the rubrics one below the other with their code Nos given in the book.
• Now read the rubrics again and again and arrive at 8- 10 remedies with the knowledge of Materia Medica or select one very strong rubric without which prescribing is impossible, open the repertory and note the remedies in it (if many remedies are there discard the lower grades) or select 2 or 3 very important rubrics use the thumb and finger method and record the remedies.
• Now, the rubrics with code numbers are ready and the expected result medicines also are ready. Now open the page of the selected remedy in the handbook and record the grades against the rubric code number. Now you have a small tabulation form. Now add up all the total matching and total grades of each remedy.

Dr.D. Tarafder has prepared 3 full pledged calculator

1) Calculator from Sankaran’s pocket repertory,
2) Calculator from BTPB
3) Calculator from Kent’s repertory.

COMPUTER REPERTORIES
• The first program as many books writes was called ‘Lamina’ developed in Australia. This work was based on Kent’s repertory.
• Since late 1970 and early 1980 a number of computer program have became available. After the Development Of Lamina, many software's came in the homoeopathic market.
1979- LE REPERTAISE DE KENT MELANIC- DOCTEUR GEORGES BROUS.
1986- MAC Repertory
1986- HOMPATH
1987-RADAR
1988-CARA, (NOW ISIS INSPIRATIONAL SOFTWARE)

1994-POLYCRESTA, ORGANON 96
MICROPATH- Micro therapeutics Ltd, England
HOMOEOREP-Boenninghausen’s technique-Dr. Robert Bacheleric, France.
THE PROFILE- D.J. Vidlard, France.
THE SAMUEL- The co-operative association, Holland.
KENTIAN- Sai Homoeopathic Book Corporation. Kerela
SIMILIMUM 2000- Kerala
REMEDY2000–Holistic, India
JENNIFER JACOB HOMEOPATHIC PRESCRIBER - useful for prescribing in acute cases.
KENTOPATH
REPERTORIUM HOMOEOPATHICUM DIGITAL 1,2.
HRS-HOMOEOPATHIC REPERTORIZATION SYSTEM- Developed by CIRA [Center for Informatics Research and Advancement].
REFERENCE WORKS., ANAHATA HOMEOPATHIC SOFTWARE, STIMULARE

Others, some not as “full featured” are also on the market, Homoeopathy@Work, Homoeopathic Assistant, and PC Kent (an out growth of the Broussalian card repertory).

These new “book” repertories were released in the 1990s
• The Complete Repertory by Van Zandvoort grew out of the Mac repertory program,
• The Synthesis Repertory by Schroyens, grew out of the Radar program.

MAC REPERTORY
• MAC repertory is one of the pioneer software, M/S Kent Homoeopathic Associates, 710 Mission avenue, San Rafael, USA develop this software.
• The screen of MAC repertory is easy to understand. So directly press on one of the icon that section will open. So the idea is like opening the book at the bookmark.
• Mac Repertory is an easy to use repertorization tool with host of analysis strategies and other useful tools to narrow down your search for the similimum.
• Mac Repertory includes these four free programs:
1). Authors and Remedies
2). Thema "Spiders"
3). Zizia Philosophy
4). Reference Works Lite

Kent Homoeopathic Associates offers two versions:
1). Mac Repertory Pro, 2). Mac Repertory Classic.
• All Core Mac Repertory programs (both the Classic and Professional versions) include:
- 6 Repertories
- 30 Materia Medicas & Keynote files
- 5 Repertory Extractions
- A personal keynote file
- Confirmatory notes on over 1600 remedies
- 4 additional free programs
2. The Full Mac Repertory Library (for both the Classic and Professional versions) includes
- 19 Repertories
- 47 Materia Medicas & Keynote files
- 17 Repertory Extractions
- A personal keynote file
- Confirmatory notes on over 1600 remedies
- 4 additional free programmes


MAC REPERTORY PRO
• 1300 families have been thoroughly integrated into Mac Repertory Pro. ( It displays individual remedies and displays the family groups).
• The Plant, Animal and Periodic Tables show exactly which plants, animals or elements are prominent in case.
• Click on a family’s square will show the rubrics limited to the remedies in that family.
• Click on the “Na” square in the Periodic Table to see every Natrum found in the case.
• In the Plant Chart, click on a carrot to see all the remedies made from roots or in the Animal graph click on the picture of the snake to see only the snake remedies.
• Family search makes it easy to find the groups central rubrics.

MAC REPERTORY CLASSIC
• Mac Repertory Classic allows us to create and save patient charts (complete with remedy plan).
• Reasons for selected remedy, other remedies to consider, graphs of your analysis, and much more.

LIBRARY LISTS
• The Repertories of Roger van Zandvoort are available to add to Mac Repertory software, including his latest work – the Repertorium Universale.
• It has 19 Repertories and 40 Materia Medicas
• Mac repertory offers the particular insights of some well-known homoeopaths.
• We can look at a case through the eyes of William Boyd’s groups, Robin Murphy’s planets, Vega Rosenberg’s boxes, and Berkley Digby’s five elements.
• All these schemes are different ways to classify remedies- in essence; each is a way of dividing remedies into families.
• Murphy uses the planets of the solar system; Digby’s bases his classification on the five alchemical elements, earth, water, fire and ether.

ABOUT MAC REPERTORY
• The remedies are plain, italicized or bold. You can hide all of the sub-rubrics and see just the main rubrics. You can hide all of the remedies in the rubrics, or just show the strongest remedies; or instead of showing them in alphabetical order, list them by grade
• From repertorization walk through the materia medica for the top remedies in the case.
• There are a variety of flexible analysis strategies that emphasize small remedies, "strange, rare and peculiar" symptoms, keynotes, symptom strength or the number of rubrics and there is an assortment of easily understandable graphs to display them.

• Remedy selection is more precise, you can display individual remedies, you can also display the family groups; for example instead of seeing how many rubrics are covered by each remedy, you will see how many rubrics each family covers.

SEARCHING OF RUBRICS
• Basically to search any of the rubrics from any software one must familiar with the book repertories. Once you started searching any rubric by search icon technique of software’s you will forget which rubric is located in which section of repertory. So students are always asked to hunt from sections rather than by using search icon.
• To browse, first open the repertory of your choice, and then select a chapter, each of which is represented by different icons. E.g.: find the rubric mind, fear, night…………..Click on Mind, fear to open list of sub rubrics scroll down list of sub rubrics to find mind, fear, night.
• Mac repertory displays the chapter’s names as you hold down the space bar. We can make changes in original repertory there is facility called EDIT REPERTORY(this facility is available in all software’s). With this facility if you change something changes will happen directly in the main repertory. MAC repertory are multilingual, here you get the options to view the repertory in two languages simultaneously.

• Rubric size, cross-references, authors, number of remedies, main remedies only or all remedies are displayed on one screen. If you need to check a particular remedy in a rubric, just hold down the space bar. All searching in MAC repertory is done from a single dialog, which is both intuitive and functional.
• As you find rubrics for your case you collect them in the clipboards. Each clipboard holds a set of rubrics, which can be analyzed separately later on. This allows you to take a look at what the mental picture suggests, separately from the physical symptoms. There are six clipboards provided in Mac repertory. Search capability more practical in Mac repertory.


REPERTORY SEARCH
• Find every occurrence of a word or remedy within the many repertories, which is offered.

COMPARATIVE ANALYSIS
• Compare two or three remedies based on a theme using the Concept Search Graphs. (Pro only) Verify your prescription in a score of Materia Medicas. Print the case or a graph of the analysis for the patient's chart. Store the information for future research, reevaluation or to share with a colleague.

MATERIA MEDICA PRESENTATION
• Repertory and Repertorization is a great tool for studying remedies. It’s a breeze to extract rubrics for several remedies at the same time, and then compare and contrast them. Here’s an example: platinum and palladium are chemically related metals. How does this observation reflect their respective delusions? To search this by hand would require lot of time. Mac repertory has allied program of REFERENCE WORKS, which is huge library of Materia Medica integrated into one database, and it is possible to search one word from this library at one keystroke. All searches in Mac repertory are easily performed from a single dialog box.

• Clicking on the button labeled remedies in Mac repertory search allows to select any remedy or group we desire. Search can be restricted to certain authors, if you like, or rubrics containing particular words. The sky is the limit.
• Rubrics Combination- e.g., in a given case, it is not clear whether the patient is best described- fastidious, conscientious about trifles, or rest cannot, when things are not in their proper place; so you would like to combine these into one more inclusive rubric.

• In MAC repertory rubrics may be combined either, as they are being added from the repertory view, or later after being collected in an icon. The identities of the contributing rubrics are lost in the combined rubric; the original rubrics can be saved and placed in a spare icon, if desired.

• Eliminative or crossed rubrics can also be created- listing only those remedy common to or more originating rubrics.

CASE ANALYSIS
• It is very clear that with any of the software if you desire to analyze case your selection of rubric should be correct.
• Dr. Jugal Kishore writes that for repertorization what you will put inside the same will come out in the form of result of repertorization.
• Repertorization with Elimination method and to get the small number of remedies for case one must select the totality of more characteristic symptoms.
• In many cases it may therefore be advantageous to weight smaller rubrics more than larger, more common ones.
• There are many more factors one could take into account to fine tune the process of case analysis even further. Consider, for example, remedy families. If in a case you find phosphorus and Kalium salts well represented, then Kali.phos should be given special consideration. The computer can apply these and many more strategies automatically.
• An important part of case analysis is the ability to restrict your attention to only a certain class of remedies, e.g., the minerals, snake remedies, remedies belonging to the sycotic miasm, etc.
• You can exclude a presentable number of Polychrests, or limit repertorization to any selection of individual remedies or natural families.
• As compare to other programs case analysis strategies is very easiest and most straightforward system in Mac repertory.
• Where Mac repertory really shines is the analysis of a case based on natural families. With only two mouse clicks you see your case projected on to the periodical table of elements and can easily locate center of the gravity and likely remedy relationships there.

• Or maybe, you suspect a plant remedy and want to see which botanical families the repertorization favors. You can view the botanical families in hierarchical order; while the darker shades of green show you where the repertorization falls. Beside chemical and botanical relationships, there are several others you can explore in a similar fashion (e.g., zoological or miasmatic).


REPERTORIZATION

• There are more graph styles in Mac repertory, some of them are the waffle graph, multi graph which shows which remedies comes through when you use different strategies; and the scatter graph, which is a way to represent the result of applying up to three different strategies simultaneously. The rainbow graph is decidedly one of the more esoteric representations.

CASE MANAGEMENT
• As one follows a case over a period of time, there is lot of information that needs to be recorded from visit to visit.
• Its better, if we get the all information related to case at one place. Mac repertory allows us to keep track of each patient in his or her own file.
• The patient file essentially becomes the familiar manila folder, containing case notes, rubric information, graphs, diagnoses, and therapy etc.
• We can save more about patient in the patient file. In this screen you see main window for the particular visit, with several typical entries. Two of these, the notes and plan & prescription are open. You can export all or part of the information to other programs from here easily.

SPECIAL FEATURES IN MAC REPERTORY
• Find remedies that occur together in rubrics; i.e. find every time that Phosphorus and Bismuth are together in a rubric; or where one occurs but the other doesn't.
• Discover the essence of a family of remedies: i.e. collect every rubric that has at least four of the snakes.
• Find rubrics where words and remedies occur together.
• Create additions to the repertories; create your own Materia Medica.
• Develop your own family groupings, Design new graphs.
• Create new analysis strategies.
• Verify the central features of more than 1500 remedies in the built-in confirmatories.

8. Enlarge your library with seventeen of the world's best repertories and 30 materia medica: Scholten, Vermeulen, Morrison, Boericke, Phatak, etc.
9. Theme palettes, Concept Analysis and Miasm Graphs make analysis unlimited.
10. Family Searches.
11. Interact directly with Reference Works.

REFERENCES
• http://www.kenthomoeopathic.com/mac repertory.
• www.softwares.homeoweb.net/othersoftwares.htm.
• Journal- The Heritage Of Homoeopathic Literature – Repertories.
• Repertory Explained by D.Tarafder.
• Essentials of repertorization by Shashi Kant Tiwari.
• Reperire by Vidyadhar R. Khanaj.
• The Principle and Practice of Repertorization by K.Harinadham.

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