Blog - Shilpa Bhouraskar

My Top Eight Repertorization Strategies

When I was creating the HomeoQuest software in 2001 to help me succeed in my rural clinic, I had to completely redefine my repertorial strategies.

Looking back I made small simple changes in the way I repertorized cases, but those changes added up to an exponential increase in the number of my successful prescriptions in the subsequent year.

Here's the thing - I didn't have to learn a whole new approach. And I didn't have to dig for extensive information.

I used simple yet unconventional Boenninghausen and Boger's approach, but I improved my results substantially especially when I had miserably failed just the year before.

I have come a long way since then - having successfully built the most intuitive repertorial software today and having trained close to 16752+ practitioners on mastering the repertorial approaches through my online courses.

And more importantly these practitioners are impacting tens of thousands of their own patients around the globe using the HomeoQuest no matter what approach they use.

So in today’s blog I thought I should share my top 8 strategies on getting the best of repertorization.

These strategies are not magic. And they didn't come to me in a day. They have slowly evolved over the years based on diving deep into the core concept of repertorization. Almost all these strategies are hard learned lessons from having repertorised tens of thousands of archived and actual cases in that busy clinic and from making tons of mistakes over the years.

And I hope by sharing these lessons you can learn from my mistakes and use this in your own clinic to create your own success.

1 - Is repertorization the most efficient tool for your case?

This is critical and many new practitioners frequently miss this fact. Although repertorization seems to be the classical tool for analysing almost every case, it is not necessarily a default tool.

Repertorization is certainly NOT required when you are analysing cases at Stage 1 or 4. Because our repertories are not the best sources of clinical or toxicological information required at Stage 1 nor the kingdom or group information required at Stage 4.

There are far better and more efficient tools that you can use instead for analysing the information at these stages.

At Stage 1, you depend on pathophysiological resources to prescribe organ remedies and sarcodes, You rely on diagnostic tools to prescribe isopathic remedies and nosodes. While repertories can be used as a reference for some clinical rubrics, I do not  "repertorize" these pathological rubrics because these remedies may never come up in a final analysis.

Similarly at Stage 4 you look for taxonomy tools and source references to prescribe remedies based on group analysis. Infact I had to create some creative tools such as Quest Analysis, Remedy Comparison and Kingdom filters in my HomeoQuest Premium program to analyse this “derived information” at Stage 4.

(To find more about stages and how it can simplify your homeopathy, please download a free copy of my book on the left side of this page)

The bottom-line is that traditional repertorization is only effective for cases at Stage 2 and 3.
And finally no matter what approach you use if a remedy is crystal clear just based on your clinical or materia medica knowledge then you do not need to use any tool :)

2 - Take the long view - Win with strategy.

It does not really matter how good your repertory or software is, good case taking and creating a good totality is half the job done.
I have seen many students and new practitioners overlook the skills needed to build a cohesive totality and instead try to repertorize just about every symptom they happen to find in their patient. Well it’s just sad because it can only lead to endless frustration and confusion. And believe me I have been there too..

The good news is that it takes just a few minutes to step back and pick a handful of good solid rubrics that reflect your presenting disease state. This will instantly improve your results.

Remember when it comes to repertorization I remember a favourite quote my teachers always said - Garbage in - is Garbage out. But you can only get better at this from observing how practitioners do it in their successful cases. Study archived cured cases and practice it in your own cases.
You will find a good collection of practice cases and their solutions by joining the free HomeoQuest Community here - http://apps.homeoquest.com/qc/?

3 - Don’t depend on one single source book.

If you’re dependent on one single book for every repertorization then you are really limiting your options considerably.
With computer programs today you really have the privilege to sort out thousands of remedies from an entire range of new and old books all at the same time and within a few minutes. So really there is simply no need for you to stick with one single book.

I am pleasantly surprised how many interesting rubrics I coninue to discover from the hidden interiors of our old literature. I remember a recent case of a patient who had a sensation of something alive and jumping in his chest just before his coughing bout. To my surprise this peculiar quality of "something jumping in his chest" was not in any of the big repertories.
I found it in Robert’s sensations - Internal chest Alive jumping in something were. This and many other materia medica references confirmed Crocus Sativus for me that helped the patient beautifully.

4 - Choose rubrics from books with different philosophies wisely.

In Homeopathy, we have two key philosophies and approaches when it comes to repertorization - The Kentian and the Boenninghausen. Each with its own philosophy and strategy. So make sure you choose related books specific for each strategy when you are repertorizing.
I have elaborated the differences between these two approaches in more detail in another blog here. http://apps.homeoquest.com/blog/which-approach-do-you-use-boenninghausen-or-kentia/?

5 - Keep it simple. Use facts as far as possible.

I have seen students and practitioners stress over the aspect of converting a symptom into a rubric. But the simple rule is that - If you cannot break a symptom into a good rubric then simply leave it alone. While I completely admire the effort of Repertory makers, no repertory can be a perfect replica of the proving symptoms. So we don’t have to stress about when converting your patients symptoms into rubrics perfectly. Leave a good symptom alone and you can always use it as an eliminating symptoms to directly match from the Materia Medica.

This is something I learnt pretty early in my career thanks to Boenninghausen that by breaking a beautiful symptom especially the mental state into a rubric you can easily distort the picture and end down the wrong tract.

Over the years this was what inspired me to create an extremely useful tool called Quest Analysis in HomeoQuest Premium to directly repertorize such symptoms from the materia medica.

6 - Go for Big and Broad Rubrics

When you are choosing rubrics for repertorial analysis you want to ensure your key prescription is in almost all or majority of your core symptoms. Hence you need to select the big broad wide spectrum general rubrics for your symptoms as far as possible. If you do not find one big rubric for a particular symptom then combine related rubrics to make that one big rubric.
This way you have maximum potential of your indicated remedy to emerge strongly.

7 - Avoid dumping everything in your case in one single sheet -

If you are dumping every rubric that your patient every had in one single sheet then you are planning for a lot of frustration and disappointment.

This strategy will only work for simple linear cases where most symptoms are covered by one or two remedies.

Unfortunately 90% of our cases are complex and non linear. And I have spent endless hours trying to wade through this mass of confusion when I started my practice.
The key to success in these cases is to sort rubrics in separate individual sheets depending on your approach.

Example - You can sort all the mental generals in one sheet and the physicals generals in another one. Or you can add the particulars for each specific complaint in a new sheet ie the Head, Joint, Skin and so on.

This helps you find specific remedies for each complaint as well as get an overview of the common remedy that runs across all complaints at the same time using a multisheet feature.

8 - The purpose of repertorization is simply to point us to a group of indicated remedies.

And last but not the least, here is the foundation to any repertorial success. I learnt this strategy in the first few years of my medical school. Repertorization is not an end in itself. Infact it is one of the three steps that make up your analysis process.

So once you have a good totality, I follow three simple steps to confirm my prescription. I liken it to a three step filtration process.

Repertorization is the FIRST filter. At the end of the Repertorization your aim is to arrive at a group of 10-12 well indicated remedies for that totality. This filtrate group should contain your prescription.

And then the remaining two steps is simply fine tuning and eliminating remedies to arrive at your final prescription. This is done by refering to the materia medica. Over the years I developed other tools in HomeoQuest software such as Remedy Comparison and Quest Engine to make this much more faster and super efficient.

However whatever program you use, if you follow these three steps it is really hard to go wrong.
And there is so much clinical data and feedback available in our homeopathic community on Stage 2 and 3 analysis that there is no reason to mess this one up.

What is your top strategy?

So these are my top 8 strategies for successful Repertorization. I do not claim them to be all inclusive. And I chose only the ones that have really made a difference to my clinical success. But I would love to know what is your favorite tip. What works for you during repertorization? Are there any key points that I missed today?

Discussion:

Please login or register to post your comment. Registration is free.

Very helpful. Thank you.

My pleasure Cornelia :)

Tks n well noted, in my years of experience i came to the conclusion that diet plays a very important role, just talking to the patients and knowing what they ate n altering the diet has healed many of my patients with simple homeopathic medicines, the problem lies in patients who are so used to the allopathic school of doctors and medicine and as such expect a continuous intake of homeopathic medicines. You are correct too much reprioritization leads to confusion, research and analysis is the key, myself being a research scientist 100pct homeopathic medicines have worked with all my patients.Best wishes to you, with warm regards.

Thank you for your input regarding proper diet and nutrition. I find that the body needs this in order to overcome any illness or disease by having the proper nutrients in our bodies to heal themselves. I find that the solution to preventing patients from overuse of homeopathic remedies is to distribute the required remedy one pellet at a time and have the patient return if more of the remedy is required when the disease recurs or gets worse or even changes requiring a different remedy. Thank you for your input on this. Cornelia Churchill

SAINATH RAMESH
AFTER WATCHING THE ABOVE VIDEO I GET THE IMPRESSION THAT THE 8 STEPS DETAILED ARE VERY COMPREHENSIVE ENOUGH TO AID THE SELECTION PROCESS. THANKS AGAIN TO DR. SHILPA IN ROUNDING UP THE REMEDY SELECTION PROCESS. MAY BE KEY NOTES CAN ADD AS A CONFIRMATORY TOOL.THIS HELPED ME WHILE USING BONNING HAUSEN WHICH DID NOT HAVE THE KEYNOTE 'VOMITING AFTER DRINKING WATER' I HAD RESERVED IT FOR FINAL FILTRATION WHERE PHOSPHEROUS EMEGED. MAY BE IT COULD BE USED AS A CONFIRMATORY TOOL AND NOT AS A DECISIVE TOOL WHICH CAN BE DANGEROUS. I THINK SO. ONCE AGAIN LOT OF THANKS TO DR.SHILPA FOR ROUNDING UP THE SELECTION PROCESS.