BOENNINGHAUSEN TOTALITY
(7 Maxims of Boenninghausen)
In his concept totality of symptoms comprises following seven points.
Quis - Personality, the individuality
Quid - Disease, its nature and peculiarity
Ubi - Seat of the disease
Quibus auxilis - Accompanying symptoms.
Cur - Cause of disease
Quomodo - Modification, agg. and amel.
Quando - Time
Philosophical background of Boenninghausen’s repertory rests on the following.
(Bed rock of TPB / Doctrine of TPB)
1. Doctrine of Analogy
2. Doctrine of concomitance
3. Evaluation of remedies
4. Concordance
DOCTRINE OF ANALOGY:
According to Boenninghausen one can make a complete symptom combining the scattered symptoms by making use of analogy. To complete a symptom local maladies and sensations pertaining to one part should also be applied to other parts. Thus he raised local symptoms to a general level which could be used for the whole person this is called DOCTORINE OF GRAND GENERALIZATION. He also evolved the concept that ‘what is true to the part is also true to the whole person’. Boenninghausen’s approach was that proving are not complete and can never be really complete. He says that to make things comparatively more complete, so as to make the best of what can be found out
DOCTRINE OF CONCOMITANT:
The word concomitant means existing or occurring together; or attendant. They are the UNREASONABLE ATTENDANTS of the case. Boenninghausen identified in each case a group of symptoms which have no relation to the leading symptom from the standpoint of theoretical pathology, yet they have actual relationship with the case in that they exist in same person at the same time. Concomitant is the differentiating factor in any case. The foundation of the TPB lies in it.
EVALUATION OF REMEDIES: – Boenning Hausen was the first to grade the remedies, there are 5 gradings
CAPITALS- 5 marks FIRST GRADE
BOLD 4 marks SECOND GRADE
ITALICS 3 marks THIRD GRADE
ROMAN 2 marks FOURTH GRADE
ROMAN ( PARANTHESIS) 1 mark FIFTH GRADE
This gradation is based on frequency and intensity of the appearance of symptom in provers.
5 marks Symptom frequent, confirmed and verified
1 mark Symptom not verified, not confirmed
CONCORDANCE:
In the earlier edition the heading of TOB's Relationship chapter was CONCORDANCE OF REMEDIES. ( In the earliest edition boenninghausen named it as ENIGMA meaning PUZZLE. Later boenninghausen himself changed it to concordance) Allen changed it to relationship of remedies. This chapter is divided into sections, each begin with a section devoted to a remedy in alphabetical order.
Each of these remedy section is subdivided into rubric Mind, Localities, Sensation, Glands, Bones, Skin, Sleep and Dreams, Blood; Circulation and Fever, Aggravation: Time and circumstances, Other remedies, Antidotes, Injurious. Other remedies mean general relationship of remedies. Other remedies also cover these symptoms which do not into the above said rubrics.
