| REVIEW OF LITERATURE: POCKET MANUAL OF HOMOEOPATHIC MATERIA MEDICA WITH REPERTORY. -Dr. William / Oscar E. Boericke 1) INTRODUCTION 2) PREFATORY NOTES 3) CONSTRUCTION Introduction A repertory appended to Pocket Manual of Homoeopathic Materia Medica by Oscar E. Boericke is classed under the group of General Clinical Repertory covering whole symptomatology. This repertory is based on clinical finding & clinical verifications, and major source of which is William Boericke’s Materia Medica. Boericke & Runyon, 1049 pages, published this repertory. The Materia Medica by William E. Boericke was issued in 1901. The repertory was added to the 3 rd edition in 1906. The repertory is constructed differently than that of either Kent or Boenninghausen, and takes a bit of work to become familiar with. Current is the ninth edition of this repertory that was published in June 1927. This repertory is very popularly used in acute as well as in chronic cases. Prefatory Notes In the preface to the repertory Dr. Oscar E. Boericke writes that: - In conformity, which established repertorial methods, the division of sections is somewhat the old Hahnemanian method. Headings and sub-headings or the specific conditions or symptoms comprise under the later are arranged in alphabetical order and this is more or less adhered through out the entire work. All the headings when extensive in scope are presented under : - Cause Type Location Character of pain Concomitants Modalities Technical names of the diseases are bracketed for which is in strict accord with Homoeopathic requirements, to prescribe for the symptoms of each Specific case, and not for mere the name of the disease. · Almost 1409 Remedies are considered while constructing this repertory and they are arranged in alphabetical order. Italics - indicates the more frequently Verified clinical remedy - 2 marks. Roman - Remedies printed in Roman - 1marks Lastly he adds, it is only by persistent study of one repertory, its peculiar and intricate arrangements gradually crystallize themselves in definite outline in the mind. Construction of book The first part of the book is Materia Medica and the second part is repertory – followed by an: - a) Index to the Repertory b) Therapeutic index c) List of remedies with common and Latin names Sections of Boerickes Repertory § The repertory has 25 chapters: FROM -REPERIRE BY PROF.DR.VIDYADHAR R.KHANAJ. HEADACHE Primary headache syndromes | Primary headache syndrome | | · Migraine (with or without aura) · Tension – type headache · Trigeminal autonomic cephalalgia(including cluster headache) · Primary stabbing/coughing/exertional/sex related headache · Thunderclap headache · New daily persistent headache | | Secondary causes of headache | | · Medication overuse headache (chronic daily headache) · Intracranial bleeding (subdural heamatoma , subarachnoid or intracerebral heamorrhage) · Raised intracranial pressure (brain tumour, idiopathic intracranial hypertension ) · Inflammatory disease (temporal arteritis , other vasculitis, arthritis) · Referred pain from other structure (orbit , temporomandibular joint , neck) | · Migraine : Migraine usually appears before middle age, or occasionally in later life; it affects about 20% of females and 6% of males at some point in life. Migraine is usually readily identifiable from the history, although unusual variants can cause uncertainty. The 80% of patients with characteristic headache but no ‘aura’ are said to have migraine without aura (previously called ‘common’ migraine). Migraine headache is usually severe and throbbing, with photophobia, phonophobia and vomiting lasting from 4 to 72 hours. Movement makes the pain worse and patients prefer to lie in a quiet, dark room. In a small number of patients, the aura may persist, leaving more permanent neurological disturbance. This persistent migrainous aura may occur with or without evidence of brain infarction. This is the most common type of headache and is experienced to some degree by the majority of the population. - The pain of tension headache is characterised as ‘dull’, ‘tight’ or like a ‘pressure’, and there may be a sensation of a band round the head or pressure at the vertex. It is of constant character and generalised, but often radiates forwards from the occipital region.
- It may be episodic or persistent, although the severity may vary, and there is NO associated vomiting or photophobia.
Tension-type headache is rarely disabling and patients appear well. The pain often progresses throughout the day. Tenderness may be present over the skull vault or in the occiput but is easily distinguished from the triggered pains of trigeminal neuralgia and the exquisite tenderness of temporal arteritis. Cluster headaches (also known as migrainous neuralgia) are much less common than migraine. Unusually for headache syndromes, there is a significant male predominance and onset is usually in the third decade. Cluster headache is strikingly periodic, featuring runs of identical headaches beginning at the same time for weeks at a stretch (the ‘cluster’). Patients may experience either one or several attacks within a 24-hour period, and typically are awoken from sleep by symptoms (‘alarm clock headache’). Cluster headache causes severe, unilateral periorbital pain with autonomic features, such as ipsilateral tearing, nasal congestion and conjunctival injection. The pain, though severe, is characteristically brief (30–90 minutes). In contrast to the behaviour of those with migraine, patients are highly agitated during the headache phase. The cluster period is typically a few weeks, followed by remission for months to years, but a small proportion do not experience remission. This is characterised by unilateral lancinating facial pain, most commonly involving the second and/or third divisions of the trigeminal nerve territory, usually in patients over the age of 50 years. The pain is repetitive, severe and very brief (seconds or less). It may be triggered by touch, a cold wind or eating. Physical signs are usually absent, although the spasms may make the patient wince and sit silently (tic douloureux). There is a tendency for the condition to remitand relapse over many years. Rarely, there may be combined features of trigeminal neuralgia and cluster headache (‘cluster–tic’). - Medication overuse headache :-
With increasing availability of over-the-counter medication, headache syndromes perpetuated by analgesia intake are becoming much more common. Medication overuse headache (MOH) can complicate any headache syndrome but is especially common with migraine and chronic tension-type headache. The most frequent culprits are compound analgesics (particularly codeine and other opiate-containing preparations) and triptans, and MOH is usually associated with use on more than 10–15 days per month. Management is by withdrawal of the responsible analgesics. Patients should be warned that the initial effect will be to exacerbate the headache, and migraine prophylactics may be helpful in reducing the rebound headaches. Relapse rates are high, and patients often need help and support in withdrawing from analgesia; a careful explanation of this paradoxical concept is vital. - Headaches associated with specific activities
These usually affect men in their thirties and forties. Patients develop a sudden, severe headache with exertion, including sexual activity. There is usually no vomiting or neck stiffness, and the headache lasts less than 10–15 minutes, though a less severe dullness may persist for some hours. |