Let us take an example of the Fever Chapter from BBCR. Every homeopath practices differently, some giving importance to the mental and general symptoms, while there are some who prescribe largely on physical symptoms and modalities. And the beauty of Homeopathy is that both practices deliver the best results when selected scientifically and through thorough analysis.
However, not all cases have marked mental and general symptoms and these cases do need a practical and sensible approach. Repertories like BBCR come to the rescue in such cases. The Boger-Boenninghausen (BBCR) is most helpful when the mental symptoms are not marked, or the patient is unable to say very much about their emotions and intellect, desires, or aversions (which actually reflect the core personality of the individual).
Additionally, acute cases have to be dealt with within minutes, and knowing a person’s psyche may not be necessary always. It’s always the presenting totality that matters in most acute cases.
The fever chapter in BBCR is absolutely practical and result-oriented. Its main sub-types are as follows:
- FEVER
Pathological Types
Blood
Circulation
Congestions
Palpitation
Time
Heart Beat
Pulse
Time
Aggravation
- CHILL
- Partial chill
- Coldness
- Partial coldness
- Shivering
- Time
- Aggravation
- Amelioration
- Concomitants: Mind-Sleep
- HEAT AND FEVER IN GENERAL
- Partial heat
- Time
- Aggravation
- Amelioration
- Concomitants, Mind-sleep
- SWEAT
- Partial
- Time
- Aggravation
- Amelioration
- Concomitants, Mind-Sleep
- COMPOUND FEVERS
- Beginning with chill
- Beginning with shivering
- Beginning with heat
- Beginning with sweat
This is a very easy and practical approach to the selection of rubrics.
APPLICATION OF FEVER TOTALITY
PATHOLOGICAL TYPES: This section includes various types of fevers such as Bilious, Gastric, Rheumatic, Traumatic, Typhoid, Yellow fever, etc. It is of great help when used for reference purpose during the final selection of the remedy
In cases when there are no characteristic symptoms, repertorization can be done using diagnostic or clinical rubrics. It also has a rubric ‘Intermittent and periodicity in general’ under which many periodicities are given.
BLOOD: This section includes various types and characters of blood. It is useful in any hemorrhagic conditions where the blood has any of these characteristic features.
CIRCULATION: This includes rubrics related to blood circulation, and also various conditions related to blood vessels. This is applicable in conditions like Aneurysms, Varicose veins, and Phlebitis.
CONGESTIONS: This has rubrics for the accumulation and rush of blood. These are useful in cases where patients have the subjective sensation of the rush of blood to certain parts of the body.
PALPITATION: There are rubrics related to palpitations, some causative factors for palpitation, and some complaints associated with palpitation.
HEARTBEAT: In this section, different rubrics related to heartbeat have been given. This section is applicable in many cardiac diseases where there is change or alteration in the heartbeat e.g.: Arrhythmia, Tachycardia, Atrial fibrillation, etc.
PULSE: Different types, characters, and alterations in pulse are given in this section. Applicable in conditions with abnormal pulse findings such as tachycardia, atrial flutter, hyperthyroidism, etc.
CHILL: Applicable in cases of fever where the chill stage is predominant and has concomitants.
HEAT AND FEVER IN GENERAL: Applicable in fevers with a prominent heat stage and also a sensation of heat in certain specific parts of the body.
SWEAT: Since sweat is a physical general symptom it can be applied in any case where the patient has characteristic nature or pattern of sweat
COMPOUND FEVERS: This section has rubrics related to compound fever where the stages of fever i.e., chill, heat, and sweat are interchanged.
Here is a Case of Fever solved with the help of BBCR.
A 6-year-old child had been suffering from fever with marked chills for 3 days. His temperature would spike between 7-8 pm and would shoot up to 102 degrees Celsius. His other complaints were intense cough with vomiting. Vomiting was very severe and he would throw up 3 to 4 times a day. Along with vomiting, he also had severe abdominal pain with gastric disturbances.
- Appetite: Drastically reduced, no desire to eat at all.
- Thirst: Thirsty
- THERMALS- Chilly
- Stools: Loose stools, diarrhea, pain while passing stools
He was dull, and lethargic throughout the day.
GENERAL PHYSICAL EXAMINATION
- Conscious, oriented
- Tongue-Clean
Diagnosis: Viral Gastroenteritis
ANALYSIS OF THE CASE
TOTALITY
- Fever with chills
- Fever at the same time every day
- Marked Nausea and Vomiting
- Abdominal pain
- Diarrhea
REPERTORIAL TOTALITY
- [Boenning ] [Fever]PATHOLOGICAL TYPES:Gastric:
- [Boenning ] [Fever]PATHOLOGICAL TYPES:Intermittent and periodicity:In general:
- [Boenning ] [Fever]PATHOLOGICAL TYPES:Intermittent and periodicity:Hour, at same:
- [Boenning ] [Chill]CHILL:Predominant, in general:
- [Boenning ] [Chill]CONCOMITANTS:Appetite:Aversion to food (loss of appetite
- [Boenning ] [Chill]CONCOMITANTS:Eructation, nausea, qualmishness and vomiting:Nausea:
- [Boenning ] [Chill]CONCOMITANTS:Eructation, nausea, qualmishness and vomiting:Vomiting:
- [Boenning ] [Chill]CONCOMITANTS:Stomach, hypochondria, abdomen:Stomach, pain in, stomachache:
REPERTORIAL RESULT
PRESCRIPTION:
- Ipecac 200 TDS for 2 days
- SL BD- 7 days
Remedial Analysis:
Although Pulsatilla comes first on repertorization, the characteristic symptoms of fever coming on the same hour every day was covered strongly by Ipecac. Nausea and vomiting were also predominantly marked in this case, pointing towards Ipecac.
FOLLOW UP
- There was no fever within 2 doses of the medicine
- Vomiting only once
- Appetite started developing
After 2 days, the pain in the abdomen, vomiting, and loose motions totally stopped.
- Rx: SL BD/5 days
CONCLUSION
- “Fever totality” of BBCR is a unique and important contribution of Boger to Homoeopathy.
- It offers a practical approach in cases of fever.
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