The purpose of the
foundation ‘Archive for Homeopathy’ is to develop a databank wherein
cured symptoms with homeopathic remedies are collected in order
to improve the repertory and materia medica. These symptoms can
be already known for a certain remedy, or they can be new ones.
Next to this the archive can provide information to anyone who
wants to make a contribution to the spreading of homeopathy by
lecturing, teaching, research or writings. To achieve this we
will collect cases that were cured by homeopathy.
However, to get a
more reliable materia medica and repertory we will have to be
very meticulous with the information we get from cases. In order
to make sure that the change in symptoms in a case is the effect
of the remedy and not a placebo effect, great care has to be taken.
Therefore we made a protocol with conditions that need to be fulfilled
when cases are reported.
One will understand
that in order to make such a project succeed, the support of a
large group of practitioners will be necessary. Therefore we invite
everybody to take part in the development of homeopathy, by sending
in cases with changed or cured symptoms, including the characteristics
on which the remedy has been chosen.
Examples of problems and mistakes in current repertories
Although J.T. Kent,
who is responsible for the last major development of the repertory,
asked to verify his repertory with well-kept records, this has hardly been done during the last
hundred years. If homeopaths want to improve their results in
practise, then a lot of attention has to be given to this subject,
as J.T. Kent himself writes that his repertory is still in infancy1
and a lot still needs to be adjusted.
The current information
is a mixture of information with different reliability from several
sources.
A few important examples
of problems with Kent’s repertory:
- Mistakes in symptoms
- Mistakes in writings
or remedy names
- Unclearness of
the use of the grades
Lacking of sources
By leaving out the
exact source of a symptom it sometimes becomes impossible to check
the information in Kent’s repertory, which is necessary if we
look at the other flaws.
Unfortunately a lot
of mistakes have entered the repertory, which is understandable
looking at the amount of information that has been processed and
the primitive means with which it had to be done. But for the
homeopathic community there lies an important problem.
Here follow some examples
to show the necessity of the archive:
Examples of mistakes in abbreviations
Examples of errors
concerning the remedies are Anac. instead of Anan., Aphis instead
of Apis, Opun-v. instead of Op. These mistakes might have entered
the repertory after Kent made it, when it was reprinted, but nevertheless
it has to be looked at.
Examples of mistakes in symptomatology
Mouth - pain - palate
- walking agg. - sore (Kali-bi. as only remedy).
In the materia medica
we only find the following in Allen’s Encyclopedia: ‘Sore throat on waking, pain being at the
palate; sore throat went away in the air.’. So most probably the
word ‘walking’ has to be ‘waking’.
Mind - timidity -
evening - bed – in (Kali-c. as only remedy).
This is mistake in
the translation from German to English. The original German text
from Hahnemann says ‘Furchtsamkeit,
Abends im Bette’, which means fearfulness in the evening in bed
and not timidity.
Examples of unclearness of the grades
Although J.T. Kent
himself gives clear instructions on how to use the grades, they appear as a very complex and unclear
matter in the repertory. Kent gives the following explanation
of the grades:
- The highest degree
(printed in bold) should represent symptoms that were produced
by most of the provers, being confirmed by reprovings and in
practise. As Kent puts it ‘confirmed, by curing those states
extensively, wherever administered, for years’.
- The second degree
(printed in italics) is a symptom only seen in some provers,
but is clinically confirmed.
- The lowest degree
(printed in plain type) is for symptoms not often occurring
in provings but that do stand out by intensity or peculiarity
or that are clinically confirmed; also for symptoms that do
not occur in the provings but that are clinically confirmed.
If we take now for
instance the remedy Anacardium orientale that is in bold in the
rubric ‘Head - Perspiration of scalp’, then we will see that it
only occurred once in the proving and that Hahnemann3
himself did not mention it as a symptom cured by this remedy.
The origin of this grading comes from the son of Clemens von Boenninghausen
who updated his father’s repertory. But it is clear that it does
not fit Kent’s description of a remedy in the highest degree.
Another example is
Kali sulphuricum that is in bold in the rubric ‘Respiration
– Rattling’. In the ‘Lesser writings’ of Kent we read
that no other remedy is so competent to deal with this problem. But in
the provings this symptom never occurred. We do find it in Hering’s
Guiding Symptoms as cured symptom.
A
remark about this remedy in the ‘Homeopathic Physician’ from 1888
goes as follows:
‘Of Potassium sulphate
we have practically no provings, as the scanty records given in
the Encyclopaedia are useless. Clinically it has been recommended
for loose, rattling cough, which hangs on after other symptoms
have been relieved, when patient is worse indoors and better out
in the air.
On the other hand,
in the same ‘Lesser writings’ Kent writes that he has cured at
least a hundred cases from adenoids with Tuberculinum bovinum, but the remedy is not in the rubric ‘Nose
– Adenoids’. According to his own directions both remedies Kali
sulphuricum and Tuberculinum bovinum should be in the first degree,
in plain type, in the repertory.
All this is very confusing
and proves that the grades in Kent’s repertory are not trustworthy
at all and a lot of work needs to done to correct these.
Objectives of the Archive for Homeopathy
Collecting reliable information
The main purpose of
the foundation is to collect reliable and evidence based material.
To get this reliable information specific conditions are given
which the cases have to meet. These conditions are only given
to make sure that the change of the symptoms is due to the remedy
and not a placebo effect or other influences. The main conditions
are that the treatment is done with only one remedy at a time
and that the follow up is over a long enough period. If a patient
needed more then one remedy then it should be clear what action
each remedy separately had. For more details about the conditions
and the protocol see www.archiveforhomeopathy.com .
Procedure of the archive
Anyone can send in
cases. On our website one can find examples of how cases should
be sent in. There also is a format that can be downloaded and
filled in. The following is an example of a case sent in via this
format:
Format example 1
Intensity of symptoms is written in [1], [2] and [3].
Lvr, 21-09-1977, male
CONSULTATION 1:
07-06-99
Observation:
Brown, curly hair. Reserved, mild.
Main complaint: psoriasis, red dry spots, no itch, since
8 years; started on neck, arms and legs and later also in face,
< in winter.
Other: Recurrent, swollen tonsils [2]. Headache in weekend,
above eyes, stitching [1]
Family medical history: Psoriasis, rheuma
Generals: Chilly; offensive foot sweat [2]; feet often
cold.
Desires: fat and pasta
Mind: Reserved, quiet, sensitive. Nervous before exams.
Biting nails.
RELEVANT SYMPTOMS
01 Psoriasis [3]
02 Offensive footsweat [2]
03 Swollen tonsils [2]
04 Headache in weekend, above eyes, stitching [1]
PRESCRIPTION: Silicea C200
CONSULTATION 2: 24-07-99
Short lasting aggravation of psoriasis on arms. Afterwards
> of all complaints. Only in the neck is a little spot of
psoriasis.
RELEVANT SYMPTOMS
01 Psoriasis [3]->[1]
02 Offensive foot sweat [2]->[1]
03 Swollen tonsils [2]->[0]
04 Headache in weekend, above eyes, stitching [1]->[0]
PRESCRIPTION: wait
CONSULTATION 3: 15-12-99
Psoriasis in the neck remains. Other spots are gone.
Headache and tonsils >.
Became more open and has no anxiety for exams anymore.
Has become warmer.
PRESCRIPTION: Silicea LM2
CONSULTATION 4: 03-05-00
Psoriasis in the neck goes away.
PRESCRIPTION: Continue Silicea LM2
CONSULTATION 5: 13-03-02
Psoriasis and other complaints better. Uses Silicea
LM2 in winter a few weeks if some slight spots of psoriasis
appear in the neck, which then yield fast.
CONSULTATION 6: 23-07-06
Still well, no remedy needed anymore.
FINAL EVALUATION
01 Psoriasis
[3]->[1]
02 Offensive foot sweat [2]->[1]
03 Swollen tonsils [2]->[0]
04 Headache in weekend, above eyes, stitching [1]->[0]
05 Chilly [2] ->[1]
06 Cold feet [2]->[2] [x]
07 Desire: fat and pasta [2]->[2] [x]
08 Reserved [2]->[1]
09 Quiet disposition [2]->[2] [x]
10 Sensitive [2]->[2] [x]
11 Nervous for exams [2]->[0]
12. Biting nails [1]->[1] [x]
13. Mildness [2]->[2] [x]
Send the case to cases@archiveforhomeopathy.com
Format example 2
Intensity of symptoms is written in [1], [2] and [3].
JS, 24-10-1965, female
CONSULTATION 1: 04-02-2007
22
January had flu; energy stayed low [2]
26 January throat pain, barking cough [3] from itch
in larynx [3]; sensation as if something lodged in throat [2],
raw as from sandpaper [3]. Took Flumisil to loosen cough, which
provoked forced cough with retching. Since then pain near left
clavicle [3] ext neck and arm [2] < cough [3]. Cried from
pain last night. < lying on left side [3]. Expectoration is creamy [1].
Observation:
deep, hard cough [3], some mucus audible [2].
Constitutional
symptoms:
Retracted
gums [2], bleeding when brushing.
Sleeps
bad when too busy [2]; R side [2/3]
Too
much sense of duty [3], has to pull herself back, does too much
Desire
sweets [2]; aversion liver [3]
<
sweet pepper and curry --> eructations [2]
Temperature
and perspiration normal; red head when exercising [2]
Family
medical history: cancer in both families; paternal grandfather
died at 65th of lungca, father at 70, maternal grandmother cva
from high blpr; maternal grandmother uterus ca died 64th; mother
has had tb.
RELEVANT SYMPTOMS
01 Barking
cough [3] from itch in larynx [3]
02 Sensation
as if something lodged in throat [2]
03 Throat raw as from sandpaper [3]
04 Pain
near left clavicle [3] ext neck and arm [2] < cough [3]
05
Cried from pain last night
06
< lying on left side again [3]
07
Expectoration is creamy [1]
08
Deep, hard cough [3]
09
Some mucus audible [2].
PRESCRIPTION: Myrtus communis 30K
CONSULTATION 2: 06-02-2007
Strong < after Rx of raw feeling in throat and pain
left clavicle ext to arm; after 2,5 h >>>
Nose is open and discharges yellow [2/3]
Coughs a lot [2], but not barking or hard
Has perspired a lot at night [2]
RELEVANT SYMPTOMS
01 Barking
cough [3] from itch in larynx [3]->[1]
02 Sensation
as if something lodged in throat [2]->[0]
03 Throat raw as from sandpaper [3]->[0]
04 Pain
near left clavicle [3]->[0] ext neck and arm [2]->[0]
< cough [3]->[0]
05
Cried from pain last night [0]
06
< lying on left side again [3]->[2]
07
Expectoration is creamy [1]
08
Deep, hard cough [3]->[1]
09
Some mucus audible [2]->[1].
PRESCRIPTION: wait
CONSULTATION 3: 07-02-2007
Cough less and less deep, < change cold to warm [2],
Coryza [3], yellow [3]
Very little night sweat
Energy improves
PRESCRIPTION: wait
CONSULTATION 4: 18-02-07
Free of complaints
PRESCRIPTION: Wait
CONSULTATION 5: 16-02-09
No relapse, no remedy needed anymore.
FINAL EVALUATION
01 Barking
cough [3]->[0] from itch in larynx [3]->[0]
02 Sensation
as if something lodged in throat [2]->[0]
03 Throat raw as from sandpaper [3]->[0]
04 Pain
near left clavicle [3]->[0] ext neck and arm [2]->[0]
< cough [3]->[0]
05
Cried from pain last night [x]
06
< lying on left side again [3]->[0]
07
Expectoration is creamy [1]->[0]
08
Deep, hard cough [3]->[0]
09
Some mucus audible [2]->[0].
10 Obstruction nose [1]->[0]
11 Yellow coryza [2/3]->[0]
12 Perspired a lot at night [2]->[0]
13 Cough < change cold to warm [2]->[0]
Send the case to cases@archiveforhomeopathy.com
The foundation analyses the case and translates the symptoms into
repertory language. It also puts other relevant information in
the database, such as for instance potency, date of first intake
and of the follow ups, remedy, intensity of symptoms, etc. The
practitioner who sends in the information gets feedback over the
case, an author reference and an id number for each case, so that
in the future when more information is available about a case
it can easily be added. Of course not every change has to be reported,
but only the information that becomes relevant after a long enough
period has passed.
By completing the database the repertory automatically will be
updated. This repertory will in time be available via the website
or if possible, periodically in cheap printed form.
Essential features of the repertory of Archive
for Homeopathy
Dynamic
The information in the repertory is changed according
to each case that is added. When new information is available
through cases that are reported to the foundation, the rubrics
and gradation of remedies will be changed instantly. The big advantage
is that the information is not static, in the sense that it does
not change for years or even decades.
Unprejudiced information
Because the gradation is being calculated by ingenious
formulas that use information of the cases added to the database,
the information is impartial. It is not the opinion of one person,
but it is the result of formulas and objective information. It
is not a personal decision if a specific remedy should be in a
certain degree.
Collective efforts
Because everybody
can report cases (that meet the criteria) the repertory has the
potential to grow very large in a very small time. It can be a
project that is made by homoeopaths. Each homeopath can decide
for him or herself how many cases they want to report. Just a
small example to show how much information could be gathered:
if each homeopath in The Netherlands would report one case each
month, with about five useful symptoms per case, there would be
about 50,000 symptoms after just one year. Imagine if each person
in the global homeopathic community adds one case each month.
Non-profit
The Archive for Homeopathy is a non-profit organisation.
This means on the one side that the results (repertory and materia
medica) will be made available for free or for a price that covers
the costs. On the other hand, there is no need to make decisions
based on commercial aspects. We can focus only on quality and
correct, reliable information.