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This document provides an overview of Boger-Boenninghausen's Characteristics and Repertory by Dr. Cyrus M. Boger. It summarizes that the repertory combines the wisdom and experience of Boenninghausen and Boger, bridging Kent's and Boenninghausen's approaches. It was published in 1905 and went through several editions, with Boger continuing to work on it until his death. The repertory contains characteristics of medicines and a repertory section, organized based on Boger's emphasis on time, tissue affinities, and pathological generals.

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0% found this document useful (0 votes)
619 views40 pages

BBCR

This document provides an overview of Boger-Boenninghausen's Characteristics and Repertory by Dr. Cyrus M. Boger. It summarizes that the repertory combines the wisdom and experience of Boenninghausen and Boger, bridging Kent's and Boenninghausen's approaches. It was published in 1905 and went through several editions, with Boger continuing to work on it until his death. The repertory contains characteristics of medicines and a repertory section, organized based on Boger's emphasis on time, tissue affinities, and pathological generals.

Uploaded by

mahavir ghiya
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© Attribution Non-Commercial (BY-NC)
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You are on page 1/ 40

BOGER-BOENNINGHAUSEN’S

CHARECTRISTICS AND
REPERTORY
BY DR. CYRUS M. BOGER.
 Dr.Dario Spinedi
 who wrote the forward to the
Complete Repertory writes,
 “I discovered that
Boenninghsun’s characteristics
and repertory by Boger is a real
gold mine for all kinds of
symptoms”.
 This repertory is combined wisdom and
experience of two masterminds,
Boenninghausen and Boger.
 This is the bridge between KENT’S
approach and BOENNINGHAUSEN’S
approach.
 Practical usefulness of ‘THERAPEUTIC
POCKET BOOK’ impressed this German
scholer, and there for adopted the plan and
construction, principles of the book and
enlarged the literature considerably in to what
we now call the above Repertory.
 It was published by Boericke and Tafel in
1905.
 Even there after Boger continued to work on
the repertory,death snatched him away
before he could give the final version of the
Repertory. His manuscript were published
posthumously with the assistance of his
wife by M/s Roy and Co. India in 1937.
 Then the next addition published by B. Jain
Publishers in 1952.
 Second edition, proved very useful in
successfully working out of cases. It
contains characteristics of medicines in the
first part and repertory in the second part.
Hence the title Boenninghausen’s
Charectristic and Repertory
PHILOSOPHICAL BACKGROUND OF THE
BBCR.

 Doctrine of Complete symptom.


 Doctrine of Pathological Generals.
 Doctrine of Causation and Time.
 Concordances.
 1. Doctrine of complete symptoms-

Boger improved in the


Boenninghausen’s method of erecting
totality, by removing grand generalization
regarding the sensations and modalities.
 2. Doctrine of pathological generals-

“An individual may respond to constant


unfavorable stimuli through pathological
changes in different tissue, but a common
propensity may still persist. This common
changes in different tissues shows the
behavior of the whole constitution, which is
important to understand the individual.”
Boger emphasized these pathological generals
are important in understanding the state of
the person.
a) Structural alterations in tissues, organs, and
systems pertaining to the man as a whole.
b) Structural alterations in a part,region, area
or location when interpreted in a larger
context of the underlying generalized
disturbance--- physio-pathogenic and/or
miasmatic. By this way pathological
perticular symtpoms raised to the level of
pathological general.
c) Structural alterations common to two or more
locations e.g. acridity, excoriations, redness
cracks, fissures,chaps etc.

d) General locations :e.g. orifice, skin-folds,


flexures, glands, mouth corners, sphincters
etc.

e) Discharges :colour, odour, consistency, stains


fast or not -- when common to two or more
locations.
 3.Doctrine Of Causation And Time-

These factors are more definite and


reliable indication for cases as well as
medicine.
Therefore, they should given due
importance in Repertorisation
 Construction of the Repertory
The Repertory Embraces
 The Therapeutic Pocket Book.
 The Repertory Of Antipsoric.
 Remedies which are not antipsoric.
 The side of the body.
 Repertory Part Of The Intermittent Fever.
 Whooping Cough.
 A Large Number Of Paragraph From The
‘Aphorisms Of Hippocrates’
 Properly designated additions have been made
from the exigencies of daily practice, but not
clinical symptoms have been thus admitted.
 Domestic Physician.
Evaluation of Remedies.

CAPTIAL first grade (5)


Bold second grade(4)
Italics third grade (3)
Roman fourth grade(2)
(roman) fifth grade (1)

Total no. of Medicine --- 448


 Boger followed the basic plan and
construction of Boenninghausen. But at
several places he changed arrangement as
well as in its contents for easy reference.
 These are the chapters in the Repertory.
 MIND
 SENSORIUM
 VERTIGO
 HEAD
 EYES
 EARS
 NOSE
 FACE
 TEETH
 MOUTH
 APPETITE
 THIRST
 TASTE
 ERUCTATION
 WATERBRASH
 HEARTBURN
 HICOUGH
 NAUSEA
 STOMACH
 HYPOCHONDRIA
 ABDOMEN.
 INGUINAL AND PUBIC REGION
 FLATULANCE
 STOOLANUS AND RECTUM
 PERINUM
 PROSTATE GLAND
 URINEURINARY ORGANS
 GENITILIA:MALE / FEMALE
 SEXUAL IMPULSE
 MENSTRUATION
 RESPIRATION
 COUGH
 LARYMX AND TRACHEA
 VOICE AND SPEECH
 NECK AND EXTERNAL
 THROAT
 CHEST
 BACK
 UPPER EXTREMITIES
 LOWER EXTREMITIES
 SENSATION AND COMPLAINTS IN GENERAL
GLANDSBONESSKIN AND EXTERIOR BODY
 SLEEP
 DREAMS
 FEVERHEAT AND FEVER IN
GENERALSWEATCOMPOUND FEVERS
 CONDITION IN GENERALCONDITIONS OF
AGGRAVATION AND AMELIORATION IN GENERAL
Arrangement of Rubric
 Most of the section start with the rubric “in
general” this groups most prominent
remedies which are capable of producing
different types of symptoms in relation to the
part or organ. i.e. location or part of body
or organ.
 Location –
 It further split into sub-division-

 Sides, and Extension.


 Sensation begins after the location,
horizontal line indicates the end of location.
Different sensation and pathological
condition are mentioned in relation to each
part. Each specific sensation is again
attached to the sub-division of the main
location.
 Time – medicine are grouped under
daytime, morning, forenoon, noon, etc.
there are no specific hour’s mentioned.

Time presented at the end of sub-section


after the location or sensation and it specify
the aggravation of complaints.
 Aggravation-
This subdivision contains factors which
increase the specific complaint of the part,
and also factors which excites or bring on
the complaints.
 Amelioration-
This sub-section contains lesser number
of rubrics.
Concomitants-
Boger has collected these from different sources,
proving, clinical experiences and verifications.

These sub-section are well explained and


arranged alphabetically.

comcomitants- vertigo, coryza, teeth,nausea,


vomiting, stomach, stook, urine, sexual impulse,
menstrual, cough, fever.
 Concept of totality

Boger reemphasized the views of


Boenninghausen’s seven points to
appreciate the whole picture of disease.
 QUIS- The individuality of person
 QUID- Peculiar sensation, nature of
disease
 UBI- Location of the disease
 CUR- Cause of the disease
 QUAMODO- Modality of circumstances
 QUANDO- Modality of time
 QUIBUS QUXILIIS- Concomitant
symptoms.
The contribution of Boger in the evolution
of the “portrait of disease”(natural as
well as drug) lay in his total appreciation
of the following area:

 1.Time dimension
 2.Tissue affinities (region, areas, tissues,
organ, system,)
 3.Pathological generals
 Boger conceived of disease as a dynamic
evolutionary phenomenon in nature,
proceeding from the phase of normality
through phase of diathesis to the phase of
disease.
 The disease evolves from prodromal phase
through the functional to structural phase
and the later from psora to syphilis.
 The changing expression of disease
process occur from time to time. These are
inducted into the system by the
environmental factors, causative
aggravation and amelioration.
 The alert physician has to perceive the
transition points in these varying phases
therapy at appropriate moments.
Evolution of disease also implies origin,
pace or tempo, direction, extent, manner,
evolution, acme, devolution or decline.
 While on prescribing he expressed that
First physician should elicit the evident
cause and course of the sickness down to
the latest symptom and effect of such
influences, time, temperature , open air,
posture, discharge etc.
 Secondly comes the modality and
consideration of mental state in order of
importance.
 Thirdly the entire objective aspect of
expression of the sickness including the
state of secretions lastly the parts affected
must be determined.
 From these statement it is obvious that
Boger has given importance to
 causation
 modalities
 concomitants
 general sensation
 pathology/pathological generals

 location is given last place in order to


hierarchy.

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