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CASES MATERIA MEDICA GENERAL ARTICLES ABSTRACT MISCELLANEOUS Q & A

Homoeopathic Queries & Solutions
NATIONAL JOURNAL OF HOMOEOPATHY 1997 Jan / Feb VOL VI NO 1.
Prof Dr Kasim Chimthanawala

1. Sir, Nowadays there seems to be a boom for using rare and newer remedies. Are we to believe that our fully proved polycrest remedies have become ineffective in managing the newer symptom syndromes of today?

Dr Narayan Kukreja MP

Yes, it is true that now practically on every front- seminars, conferences, clinical meets etc there is some discussion or other on something new in the arena of drug therapeutics.
Participants, particularly young turks who have entered the field in recent decades are the most vociferous. Their inspiring presentation of half backed cased [at times the cases appear to be concocted] with the help of high-tech accessories, claiming to have cured hopeless cases, have succeeded, to some extent in creating an impression especially on the green minds of the neophytes, that, with changing times, the days of the older remedies are getting over and that they are no more effective in combating the newer disease syndromes. The time has come to either explore the potentialities of the partially proved ones or some new remedial agents must be discovered, if Homoeopathy has to survive.
But I believe, this contention is only partially true. I am not against the discovery of new medicinal agents but I think what we need today is a change in approach towards the case. In order to effectively tackle the complex cases of today, a rational management of the patient in his/her entirety is necessary and not drug administration alone.
Management includes-
1] Preparation of the patient i.e. to make him/her suitable for Homoeopathic treatment which involves -
a] Explanation of Homoeopathic method of Treatment-aggravations, reporting of finer symptoms etc.
b] Restrictions/avoidance of all the aggravating/maintaining factors which influences the manifestations.
c] Encouragement of ameliorating factors, exercises etc
d] Regularisation of modes of life and living.
2] Effective utilization of all the available nonmedicinal auxiliary measures like Psychotherapy, Physiotherapy etc.
3] Use of Organ remedies in physiological doses in order to replace the synthetic drugs being taken for controlling certain symptom syndromes.
4] Wherever necessary, Tautopathic remedies or Antidotes may have to be given, to nullify the unwarranted side effects of crude drugs if taken for long.
Mind you, majority of rare drugs palliate the presenting symptoms only. Ultimately one has to go for polycrests if cure is required.
From my small experience of 3 decades can emphatically say that if a Homoeopathic physician skillfully implements all the above stated steps of management, he will be able to combat majority of cases with the success and on the basis of Herring's Laws of cure with the help of whatever material we have in our armamentarium today. May be, in a small group of incurable cases, we may have to resort to rare remedies.

Q Sir, what is your frank opinion or recent GR by Govt of Maharashtra, banning the Homoeopathic gradates to practice Allopathy?

Dr Narayan Kukreja Dabra

As a matter of fact, I, including all those who are committed to save this only existing system of therapeutics, will agree with the step taken by the govt. without any conditions whatsoever. I take the liberty to peal through this platform to every Homoeopath who wishes to let Hahnemannian Homoeopathy remain and flourish on this soil, not only to welcome it d congratulate the govt for this brave step but also stand by it.
Let us not forget that in the western countries, which had the pride of producing stalwarts like Drs Kent, Herring, Allen and others, Homoeopathy has lost its grace simply because of the infiltration of materialists this system. Today, Homoeopathy is treated as one of the alternative system of nonscientific medicine on the lines of Acupuncture, Naturopathy etc.
Even in a one-time-prestigious Homoeopathic institution of Britain- The Royal London Homoeopathic Hospital, allopathic medicines are used liberally along with Homoeopathic drugs, as if the dynamic potencies are incapable of effectively combating infections, allergies etc. What ignorance!

Q Sir, do you think Dr Kent's Repertory has become obsolete. Our teachers suggest suggests we read the newer ones like Barthel's Synthetic, Synthesis and others. What is your advice?

I am sure, you are well aware of the fact that repertories of the celebrated contemporaries viz Dr Boenninghausen, Kent, Allen and few others are their original works. Their contents have been clinically verified for decades hence reliable. As far as Dr Kent's Repertory is concerned, it is the first and [I believe] the only complete General Repertory published till date. Its reliability is unquestionable because it has been culled under the direct supervision of Dr Kent himself.
It has a definite philosophical setting and a ground plan. It is not only easy to handle but is also the only repertory taught in details in the colleges the world over.
As against this, the above mentioned newer ones are nothing more than computerized aggregations by few enthusiastic workers in the field, from different sources- original repertories, compilations, writeups, experiences of practitioners and so on and so forth. Their overall construction, rubrics placement, inclusion of and rating of drugs are undertaken to their own perceptions. At places, the discrepancies are obvious, for eg, according to Dr Boericke, Nervousness points towards Anxiety where as Dr Kent perceived it as Restlessness. Hence they have listed accordingly. But in these compilations, under the head of anxiety, drugs listed under Restlessness [KR] are also included. Likewise there are number of other inconsistencies which need to be critically evaluated before absolute reliance is made on these newer additions vis--vis the older texts. No doubt, there are a number of good points in them but must be handled, keeping in mind their factual status.
So my sincere advice to all neophytes is to stick to Dr Kent's repertory only for first few years of practice. Try and develop a fairly satisfactory mastery of the most common rubrics. Refer to the above stated compilations only if the original texts [Kent, Boenninghausen's Boericke etc] fail to oblige.

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