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1.5.2 REPERTORISATION
ОглавлениеBoenninghausen’s PB is based on the idea that the valuable modalities, sensations, and findings of a remedy are capable of generalization. In other words, the modalities, sensations, or findings observed in clinical healing in various locations can be successfully transferred to other locations – that is, they can be generalised. This is the principle underlying the dissociated repertorisation, in which a complete symptom can be broken down into its elements and these can be repertorised individually. This means that a particular symptom restricts the choice of remedy less than with a synthetic repertorisation, in which the symptom is repertorised as a whole with all its elements. Synthetic repertorisation carries the risk that a case is restricted to one or a small number of remedies due to particular symptoms. When using a Kentian style of repertorisation in such cases, we often face the problem that not all symptoms can be assigned to a single remedy. The requirement that the remedy reflects the totality of symptoms is then no longer possible.
For our repertorisation, as already mentioned, at least five polar symptoms should be used if possible. If this number cannot be reached or if the polarity analysis is not sufficiently clear, further non-polar symptoms are used to differentiate the remedy. Table 7 shows the repertorisation scheme for polarity analysis. In theory repertorisation with PB could be performed manually using a corresponding table. Yet it is easier and faster to use computer software for this purpose. There are now at least four German Boenninghausen software packages with integrated polarity analysis,8,15,16,17 two of which are also available in English.8,16 In this book we use and explicitly recommend the program version V 2.6.0, 2012 of the Boenninghausen Arbeitsgemeinschaft.8 This has proved to be a simple, straightforward, and very reliable tool.
Table 7: Repertorisation Procedure for Polarity Analysis
We prefer this software because it is the only one that uses the revised edition of Boenninghausen’s PB7, containing his final insights into the grading of symptoms as well as numerous entries by him. It has the advantage of being very clearly laid out and easy to use. The good results of polarity analysis show that it has a so-far-unmatched level of reliability.
The most important criteria for the weighting of the repertorisation results are the absence of contraindications and the size of the polarity difference, followed by the completeness with which symptoms are covered, and finally the match established during the materia medica comparison (table 8). The importance of the absence of contraindications and the size of the polarity difference are practically identical – neither takes preference. If we receive very many polar symptoms, as usually occurs for multimorbid cases, the completeness of the symptom coverage has a significantly lower weight than polarity difference and contraindications. With rather symptom-poor acute illnesses, however, this criterion of symptom coverage becomes more important. In the recommended software, the result of the repertorisation can be sorted by number of hits (click top left on screen, second row) – which corresponds to the completeness of the symptom coverage – or by polarity difference (click top left on screen, fourth row). We recommend using both sort criteria to achieve a good overview of the likely remedies.
Table 8: Weighting of the Repertorisation Results