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After comprehensive casetaking as described in § 84 to § 95, we generally end up with a wealth of symptoms, each of which has a different influence on the choice of remedy. In the introduction to the revised edition (2000) of Boenninghausen’s PB⁷, K-H. Gypser has outlined the symptom weighting that can be found in different places in Boenninghausen’s writings. First comes the causative factor of the current illness, if one can be found (but this is not to be confused with the conventional medical notion of causation). Second is the chief symptom with its characteristics (modalities, sensations and clinical findings, location, concomitants and extent). Third are the secondary symptoms. Fourth are the changes in the state of mind (table 1). A hierarchy is of particular importance if the symptoms from different levels in the hierarchy contradict one another. For example, if the chief symptom (the abdominal complaint that has caused the patient to seek out the doctor) is characterized by amelioration from warmth, yet a secondary symptom like a skin eruption is characterized by aggravation from warmth, we must give preference to the modality of the chief symptom – the conflicting secondary symptom must be disregarded in such a case. If we are unsure which is the chief symptom and which is the secondary symptom, we must exclude contradictory modalities from the repertorisation. If the chief symptom has only a few or even no modalities, we might decide to use the distinct modalities of the secondary symptoms for the repertorisation: this often occurs in skin disease.

Table 1: Boenninghausen’s Hierarchy of Symptoms