TPB

TPB - INTRODUCTION NEW.pdf

TPB - HISTORY & PHILOSOPHY.pdf

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Name of the book: BOENNINGHAUSEN’S THERAPEUTIC POCKET BOOK
Full Name of the book: Boenninghausen’s Therapeutic Pocket Book for Homoeopathic Physicians to Use at the Bedside and in the Study of the Materia Medica
First Edition : 1846
Editor : T.F.Allen
Introduction : Dr.H.A.Roberts & Dr. Annie C Wilson
Publisher : B.Jain Publishers Pvt.Ltd , New Delhi
Printer : J.J. Offset Printers. New Delhi
Contents:
Part I

• Preface
• Life History of  Boenninghausen
• Introduction

Part II

• Repertory Proper
• Index

Introduction

• Repertory Uses
• The art of physician in taking the case
• The philosophic Background
• Construction of the Repertory
• Introduction to different Chapters

1. Mind and intellect
2. Parts of the Body and Organs
3. Sensations and complaints
4. Sleep and Dreams
5. Fever
6. Alterations of State of Health
7. Relationships of Remedies

• Limitations of Repertory
• Use of the Analysis
• Preface to the New American Edition
• Boenninghausen’s Original Preface

PART I

• Preface by Dr. T.F. Allen - In the preface Dr. T.F. Allen says that his aim is to demonstrate the sound philosophy and practical application of this work to such state as the physician meets in everyday practice.
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• Life History of Boenninghausen - He was born in Netherlands. There is a controversy about the birth year of Boenninghausen, according to Lippe it is 1777. But in the beginning of the chapter the year given is 1785. H.A. Roberts and Annie .C. Wilson gives a brief sketch of Boenninghausen’s life and they show how a lawyer turned to an expert Homoeopath. It was Dr. Weihe who influenced Boenninghausen by rescuing him from the purulent tuberculosis with the help of Pulsatilla.

Authors give works of Boenninghausen in their order of appearance. They are:

1. The cure of cholera and its preventives 1831
2. Repertory of Antipsoric Medicines 1832
3. Summary View of the Chief Sphere of Operation of the Antipsoric Remedies and of their characteristic Peculiarities, as an appendix to their Repertory 1833
4. An attempt at a Homoeopahtic Therapy of Intermittent fever 1833
5. Contributions to a Knowledge of the Peculiarities of Homoeopahtic Remedies1833
6. Homoeopahtic Diet and a Complete Image of a Disease 1833
7. Homoeopathy a Manual for the Non- Medical Public1834
8. Repertory of Medicines which are not Antipsoric 1835
9. Attempt at showing the Relative Kinship of Homoeopahtic Medicines 1836
10. Therapeutic manual for Homoeopahtic Physicians, for use at the sick bed and in the study of the Materia Medica Pura 1846
11. Brief Instructions for Non- Physicians as to the Prevention and Cure of Cholera 1849
12. The two sides of Human body and Relationships. Homoeopahtic studies 1853
13. The Homoeopahtic domestic Physician in Brief Therapeutic Diagnosis. An attempt 1853
14. The Homoeopahtic treatment of Whooping Cough in its Various Forms 1860
15. The Aphorisms of Hippocrates with Notes by a Homoeopath 1863
16. Attempt at a Homoeopathic Therapy of Intermittent and Other Fevers, especially for would- be Homoeopaths 1864

• Philosophic Background

BTP is based upon the following fundamental concepts:-

1. Doctrine of analogy and doctrine of grand generalisation
2. Doctrine of concomitant
3. Evaluation of Remedies
4. Concordances

Doctrine of Analogy/Doctrine of Grand Generalization
To make a symptom complete, the local modalities and sensations pertaining to one part should be applicable to other parts; in case modalities and sensations are not experienced by the patient or unnoticed by the Physician. Thus he raised local symptoms to a general level which could be used for the whole person. Thus all those modalities which are noticed in one part, but missing in any other part should be taken as an expression of the whole person.

Doctrine of Concomitant
Boenninghausen, identified in each case a group of symptoms along with the main complaint; such symptoms were generally overlooked by the patient, and un noticed by the physician. They appear to be unrelated to the main complaint; but are quite crucial in individualizing the case as well as the remedy.

Evaluation of Remedies
Boenninghausen was the first to grade the remedies. He noticed that there is difference in the frequency and intensity in the appearance of symptoms in provers.
He graded the remedies into 5 grades – or marks.
He used different typography to represent these different grades of remedies.

CAPITAL - I Grade (5 marks) - Proved (Recorded), Reproved (confirmed), Clinically verified.
Bold - II Grade (4 marks) - Proved (less than the1st grade), Reproved, (Confirmed) occasionally Verified.
Italics - III Grade (3 marks) - Now and then a prover brings out symptom, Not confirmed, But verified Clinically
Roman - IV Grade ( 2 marks) - Only clinically verified
(Roman) in paren- thesis - V Grade ( One mark ) - Not confirmed, Not verified, doubtful remedies, But proved.

Concordances
He discusses the relationship of remedies; under headings – mind,locality, sensation, glands, bones skin, sleep and dreams, blood, circulation, fever, aggravation, other remedies, antidotes and inimical.

Plan and Construction
The whole book can be divided into 3 components of a symptom – Location, sensation, and modalities. However concomitants are found scattered. Plan of Allen’s modified edition:-

• I Mind and Intellect
• II PARTS OF THE BODY
• III. Sensations and Complaints
  • 1. Sensations — In general
  • 2. Sensations — Glands
  • 3. Sensations — Bones
  • 4. Sensations — Skin
• IV Sleep and Dreams
• V Fever
• VI. Modalities
• VII Relationship of remedies.

Mind and Intellect: Mind Chapter contains 18 rubrics and Intellect Chapter contains 17 rubrics. In order to clarify the use of the book he simplified the number of rubrics as far as possible. Boenninghausen based his work on the concept of the whole man, placing the balance of the emphasis on the value of concomitants and the modalities. It was not his intention to reflect the whole man through his mental reactions, as they may be difficult to get. Even though this chapter contains only 35 rubrics, the aggravation chapters include 17 rubrics related to emotional excitement or state.
Though he has given emphasis to the Concomitants in case taking, the concomitants of mental symptoms are given under a single rubric “ Drugs which have concomitants of Mental Symptoms.”Part 2

Parts of the body and organs
This section of the book follows in general the anatomical schema used by Hahnemann. T.F. Allen added many of the rubrics in the eye section. He also used an idea of combining Boenninghausen’s Repertory of the Sides of the Body with the original Pocket Book.

Part 3 Sensations:
It include rubrics related to various Complaints also, hence Boger has renamed this chapter as Sensations and Complaints in General.

Part 4 Sleep:
This chapter include sleep in general , positions during sleep, and dreams. The last two are given as separate chapters.

Part 5 Fever
This chapter includes

1. Circulation
2. Chilliness in general
3. Heat
4. Coldness in general
5. Shivering in general
6. Sweat in general
7. Compound Fevers in General

Though Circulation is given as a separate chapter it is included under the Fever Chapter.

The old Edition contain these seven sub- sections.

1. Circulation 
2. Chill 
3. Heat 
4. Sweat 
5. Compound fevers
6. Concomitants of Fever 
7. Febrile Symptoms – Left side, Right side

Part 6 Alterations of the state of Health
Aggravation: First the time modalities are given, specific time modalities are not given.
Amelioration: Some rubrics does not contain medicines, their reference is given in brackets.
They are asked to refer in the Aggravation chapter- among the rubrics with opposite meaning.

Part 7 Relationship of remedies
In the earlier editions the name of this chapter was Concordance of Remedies.
This chapter contains relation ship of 141 Medicines.
1. It can be used for studying the relationship of remedies at various levels- mind, parts, sensation, modalities 2. It is helpful for finding out the second prescription
3. In certain cases a deep acting medicine cannot be given even though indicated, so as to avoid unwanted precipitation of adverse symptoms.

Advantage of TPB

1. It is based upon the concept of complete symptom- location, sensation, modality, and concomitant.
2. It follows more or less an anatomical schema which is helpful for finding the rubrics.
3. By applying the ‘Doctrine of analogy’ rubric can be completed, even though there is lack of any of the four parts of the symptom.
4. Five gradations of medicines are one of the unique contribution of Boenninghausen.
5. This repertory has given more importance to concomitant symptoms  than Kent’s repertory.
6. Modalities are given under separate section. Ameliorations are also given more importance than Kent’s repertory.
7. This repertory is useful in working out cases which are full of particulars and which contain few mental generals and physical generals. Cases manifested by pathological changes and objective symptoms can better dealt by BTPB.
8. Rubrics are given in simple language.
9. Chapter ‘relationship of remedies’ is helpful for finding the second prescription.
10. The sides of the body are given importance, they are mentioned in location chapter.
11. The extremities are divided into upper and lower which is helpful for finding the rubrics very easily.

Disadvantage of BTP

1. It deals with only 342 remedies. Boenninghausen’s original edition contained 126 remedies. Allen dropped 4 remedies (Angustra, Magnetis Polus Articus, Magnetis Polus Australius, Magnetis Poli Umbo) and added 220 remedies.
2. The rubrics given in the book are not many in number.
3. Many of the rubrics lack important medicines-desire for salt – Natrum mur is not mentioned.
4. Mind section contains only 18 rubrics under ‘mind’ and 17 rubrics under intellect. These rubrics are too general and can only be used as reference.
5. The concept that a symptom that refers to a part may be predicated of the whole man (Doctrine of analogy) is not correct under many circumstances.
6. Though prime importance is given to the concomitants there is no separate chapter for them.
7. Even though this book has undergone many modifications and editions there are many defects in the construction and compilation.- Internal head ends on page 26 , again starts on page 29. – External head ends on page 29 , again starts on page 30.
8. Rubrics that might have been placed under ‘ sensations’ are given under ‘parts of the body’- Toothache under teeth, stopped feeling in ears.
9. There is no fixed arrangements of rubrics.
10. The relationship section deals with only 141 remedies.
11. There are many misplaced rubrics- Vertigo-is given in intellect,Perineum is given in chapter stool
12. Different sensations are given specifically , but in practice many patients do not specify their sensations.
13. This book lacks information about Sarcodes and Nosodes.