THE ARRANGEMENT IN GUIDING SYMPTOMS OF OUR MATERIA MEDICA:

I. Inner symptoms and functions first.
II. First the parts, then the whole body.
III. First the upper parts, then the lower.
IV. All modalities are placed to the related function.
Symptoms are arranged according to the organ or part of the body in which they appear, not where they originate; for instance motions or positions of the head are placed to the outer head, not to the neck, the muscles of which cause the position or motion.
According to the principles and rules laid down in the foregoing the symptoms, their groups and the names of diseases, have been arranged and divided in forty-eight chapters.

 I Is the lowest, and designates an occasionally confirmed symptom. It is omitted in most case, and is sometimes used to mark a difference of value in the same line.
 II Symptoms more frequently confirmed.
 I Symptoms verified by cures.
 II Symptoms repeatedly verified.
 Indicates an approved characteristic, but is seldom used, by reason of our not wishing to appear authoritative.
 θ The Greek letter “theta” stands between the cured symptom and the pathological condition, or the physiological general state, f.i., pregnancy or climacteric years. This by no means excludes the characteristic nature of the symptom in other forms of disease.

Such observations from the Old School or the New as are worthy of our consideration.
t. Toxicological.
r. Right. L. Left.
< Increase, or aggravation; worse.
> Decrease, or amelioration; better.
 The Greek “ pi “ stands before symptoms observed only on the sick.

LIFE HISTORY OF CALVIN B. KNERR:

 Calvin Brobst Knerr was born on December 27, 1847
 father who was a lay homeopath and an uncle who knew Hering at the Allentown Academy.
 attended the Allentown College Institute and graduated from Hahnemann Medical College in 1869 (along with Cowperthwaite and T.L. Bradford).
 then entered the office of Dr. Constantine Hering as his assistant. The diary he kept while living in Hering’s house became The Life of Hering, published in 1940.

 From 1873-4 Dr. Knerr studied in Berlin, Vienna, and London.
 In 1874 he married Melitta Hering, one of Hering’s daughters, and resumed his duties as Hering’s assistant.
 In 1878 and 1879 he published 2 editions of his book, Sunstroke and Its Homeopathic Treatment.
 Upon Hering’s death in 1880 Knerr became responsible for the completion of the 10-volume Guiding Symptoms. Originally working with Dr. Charles Mohr and Dr. Charles Raue, and later working alone, Knerr completed Hering’s masterpiece in 1895.
 Dr. Knerr spent 5 years writing his 2-volume Repertory to the Guiding Symptoms, which was published in 1896.
 This repertory to Hering’s Materia Medica never saw widespread use.
 Knerr compiled this repertory from Hering’s 10 volumes.
 Knerr used the same structure throughout as found in the Guiding Symptoms, even to including the “relationships” at the end of the book and giving the remedies the four lines of grading.
 For a considerable length of time Knerr’s repertory remained out of print.
 After a prolonged correspondence Dr. Knerr agreed to grant Messrs. M. Bhattacharyya and Co. the exclusive right of publication.
 He revised the whole work, portions of which he wrote anew for this edition.
 His was a life of unceasing work, and even when confined to bed he actually prescribed for his patients.
 He died on September 30, 1940.
 To quote Pearson again, “Dr. Knerr lived a long and useful life and we should rejoice that he fulfilled a very important mission so ably.”
 Julian Winston writes: Although it mixes pathogenic and clinical data, it contains several rubrics that cannot be found anywhere else.
 His works will live after him; coming generations will profit by them, and like the present will honor his memory.
 CONTRIBUTIONS:
 1)Repertory To Hering’s Guiding Symptoms Of Materia Medica – 2 Volumes. (1896)
 2) Drug relationships. (1936)
 3) Conversation, Talks, Life And Times Of Hering. (1940)
 4)Sunstroke and Its Homeopathic Treatment. (1878 –79)
 5) Repertory of Headache. (1894)

REPERTORY OF HERING’S GUIDING SYMPTOMS OF OUR MATERIA MEDICA – CALVIN B. KNERR:
 Different types of repertories with different philosophies emerged out.
 Then era of regional repertories and repertories of various diseases arrived.
 Later around 1850- 1900, era of alphabetical repertory appeared.
 Repertories based on Hahnemann’s alphabetical scheme emerged out.
 Knerr repertory is also that kind, based on Hahnemann alphabetical scheme, and based on Hering’s Guiding Symptoms Of our Materia Medica.

 This is a concordance repertory with puritan group of repertory with authenticated rubrics in it.
 It contains mental symptoms, physical symptoms, particulars, concomitants, clinical symptoms, toxicological symptoms, etc.
 According to Webster’s dictionary the word ‘concordance’ means the following:
 1) Agreement; harmony.
 2) An alphabetical list of the important words of a book or author with references to the passages in which they occur.
 Dr. Elizabeth Wright says, “As no person can carry the symptoms of all the remedies in his mind; a concordance or index is needed. We term this symptom index as repertory”.
 Here the word concordance is used to describe the whole repertory; the connotation is an index of words, or passages of book used by an author. Thus the word concordance is analogous to the word repertory.
 Dr. Boenninghausen first used this word in the homoeopathic literature in the earlier edition of Therapeutic Pocket Book;
 This repertory was first time published by F. A. Davis and Co., 1232 pages. The book was first published in 1896.

PHILOSOPHICAL BACKGROUND
 in his preface:“It is the only alphabetic arrangement possible that will not scatter and separate what should be collective and contiguous. As in the guiding symptoms, so in the repertory, original readings, the word of the prover and the clinician are preserved to the letter, it being thought preferable to retain the most delicate shades of meaning, occasionally even different wordings of the same symptom, by taking refuse in an extra rubric or cross references, sooner than amalgamate, fuse or commingle in vague generalization at the sacrifice of individuality’’.
 Seeing the arrangement of the chapter, section and rubrics one can perceive that the repertory is constructed on the basis of general to particular philosophy, though this repertory is considered to be one of the Concordance repertory.

CLASSIFICATION OF KNERR REPERTORY
 These repertories are mostly used for the purpose of reference and not for systematic repertorization. They help us to refer to symptoms without much variation in the language of provers. They belong to what is known as the puritan group. Example: Knerr’s Repertory to Hering’s Guiding Symptoms.
 These are those repertories, which have no distinct philosophy in their construction and do not follow any principle, for forming a repertorial totality during the process of repertorization.

SOURCE:
 Hering’s Guiding Symptoms of Materia Medica is the source of Knerr’s repertory.
NUMBER OF DRUGS:
 Total number of drugs mentioned are 408.
PLAN AND CONSTRUCTION:
 Knerr in his repertory has divided the book into chapters, according to Hering’s plan of regions in his Guiding Symptoms.
 The main chapters are 46, but he added the 47th chapter based on Hering’s stages of life and constitution, which he had appended at the end of all remedies, after giving their pathogenesis, including clinical conformations, under different headings. The last chapter, 48th chapter, is on Drug Relationships.
 The basic difference of this index or repertory from that of Allen’s Symptom Register is that it contains symptoms and remedies which have had not only provings and toxicological pathogenesis, but had also clinical provings and confirmations.

 It starts with:
 Preface
 Table of contents
 List of remedy abbreviation with their names
 48 chapters including like stages of life and constitution and drug relationship.
 Index.

PREFACE:
 In this Dr. Calvin B. Knerr gives about the order of arrangement, which he followed, how the rubrics are placed. He also gives about the gradation of remedies and the signs used in this repertory. He also gives the limitation of the repertory regarding to the Guiding Symptoms.
 He acknowledges Dr. Joseph C. Guernsey, for valuable assistance with the proofs; to Dr. W. H. Philips, Messrs. Douty, Ziegler and Field, his son Bayard and others of his family, for clerical assistance; and last to his brother in law, Walter E. Hering.
 49 INDEX 1219 – 1232 14
 * Ends in page 744 but it is wrongly numbered. So 1 page is deducted.
 • Starts in page 744 but it’s continuation is in previous page. So 1 page is added.
 ■ Number of remedies with cross-reference.
 Thus the order of arrangement of chapters is in Hahnemannian schema.

ARRANGEMENT OF SECTIONS AND RUBRICS:
 The order of arrangement or method of classification, followed in the compilation of this repertory is the one inaugurated by Dr. Hahnemann, developed, perfected and used by Dr. Hering, throughout his entire Materia Medica work viz.; the anatomical; organ wise or regional division.
 1) There are 48 chapters, all arranged organ wise like Hahnemannian system till chapter – 34 and a rest chapter represents reaction of whole body. E.g. Mind, 2) Sensorium 3) Inner head 4) Outer head and so on. This organ wise classification follows an, ‘above downward’, ‘from inside outward’, ‘functional symptom first then organic conditions.’ First the parts then the whole body. Such kind of arrangement we see in Knerr’s repertory.
 2)Each page is divided into double column as it is more convenient to eye and to economize the space.
 3)Each chapter is alphabetically divided into sections and rubrics sufficient to allow full scope for analysis for the matter contained therein without destroying consistency as a whole. Thus symptoms are placed in the same language as stated by prover. E.g. in the chapter 3 the Inner head section word has nine sections. 1) Apoplexy 2) Brain 3) Forehead 4) Head 5) Headache 6) Occiput 7) Parietal 8) Temples 9) Vertex.
 4) Each chapter is divided into sections, which are given alphabetically, e.g. Chapter 4 – outer head has 9 sections, as – Dandruff, eruptions, fontanelles, forehead, hair, head, scalp, skull and tumor. On close observation one may see that the symptom under each rubric and sub rubrics also follow an alphabetical order. The sub rubrics are given in the same words as expressed by the provers or the patients. So for the sake of alphabetical arrangement the expression of the provers and the patients are not mutilated. But the key words of the sub rubrics are given alphabetically.
 5) The words such as right and left, worse and better to avoid possible errors are printed out in full.
 All the Rubrics are arranged in unbroken from: – Apart from repertories of Hempel, Jahr, Hale, this is also one of the main repertories where the symptoms have been placed unbroken, as far as possible.
 Forgetful of dates: I Con., Fl.ac.
 Forgetful, of what she is going to do: in post – partum hemorrhage, I Cann-s., II Carb. ac.; what he has just intended to do, I Card m.; what she wants to do or has done, I Chel.
 First of all, all the indications are given in an alphabetical order marked the main circumstantial association by bolder types. For example after ‘business’ comes ‘dates’, then ‘do’, and so on.
 Even in these sub rubrics, further extensions or variations also follow this alphabetical arrangement. Examine the rubric Forgetful of what she is going to do: in post-partum hemorrhage, I Cann-s.; II Carb ac.; what he has just intended to do I Card m.; from one moment to next what she wishes to do, I Manc. I have underlined the letter or alphabet of the special word, which indicates the special circumstance.
 The rubric word to each paragraph is printed in full to avoid possible error.
 The rubric word to each paragraph is printed in bold and black type and is followed by a ‘:’ (colon) – followed by drugs arranged alphabetically. This bold letter word is to be mentally repeated with every sentence rounded with a semicolon.
 For example rubric vertigo is shown as follows:
Vertigo: Acet. Ac., II Acon, Alet, Aloe, I Ant. C, etc.
Vertigo, in bed
Vertigo, as if in earthquake II Fluor. ac.
Vertigo, from vexation: Calc
Vertigo, in bed: I Carb veg., I Con., in old people suffering with eruptions, Con; as if feet were going up, I Phos ac.; rocks with him as in a ship at night, Bar. c; as if sinking deep down, II Bry.
 1) Not all mental symptoms given in mind chapter are given in physical chapters or vice versa.
 2) It is better to go through the rubrics both in the mind chapter and relevant physical chapter lest we miss the rubric.
 3) Even though in physical chapters, the mental concomitants are given as, mental condition, (i.e., Fever, mental condition) many places, the mental concomitants are given in different diagnoses. For e.g. the concomitants of Toothache are given in various rubrics in chapter10 toothache, anguish, despair, excitement, etc. So it is better to become thorough with the various rubrics in individual chapters to locate mental concomitants.
 Also note that apart from these mental concomitants, many are available under the regular physical lists also. For e.g. Larynx, croup wants to be carried.
 5) Always make sure that the mental symptom is genuine, clear and marked.
STAGES OF LIFE AND CONSTITUTION:
 The term diathesis is given as synonymous with constitution by all authorities including Dr. Knerr.

DRUG RELATIONSHIP:
 Almost every drug has the relationship as following:
 Antidotes: – To the effects of massive and molecular doses; chemical antidotes in poisoning; to the lasting or chronic effects super induced by the drug.
 Collateral: – Side relations belonging to the same or allied botanical family or chemical group.
 Compatible: – Drugs following well.
 Complementary: – Supplying the part of another drug.
 Inimical: – Drugs disagreeing, incompatible, do not follow well.

 Similar: – Drugs suggested for comparison by reason of their similarity, usually compatible, unless too similar.

INDEX:
 The repertory is supplemented by a complete index of localities, pathological and clinical and thus makes it very easy to operate.

GRADATION OF MEDICINES:
 There are four marks of distinction, each having the same significance as set down in Guiding Symptoms. The division corresponds with four grades of Boenninghausen’s repertory.
 II Double thick black vertical lines; indicates symptoms repeatedly verified.
 I single thick vertical black lines; indicates symptoms verified by cures.
 II two ordinary vertical lines (light lines); symptoms more frequently confirmed or if once confirmed strictly in the character with genius of the remedy.
 I single ordinary vertical lines; indicates occasionally a confirmed symptom carries lowest value.

 In this repertory the last graded remedies are without grading mark (I).

SYMBOLS USED IN KNERR REPERTORY:
 There are five symbols used.
 cross-reference
 The hand directs cross-reference to related symptoms. There are different types of cross references but actually cross reference with drugs and without drugs, cross reference given within the chapter and to other chapters are the major types.
 Different types of cross-references
 i. With drugs e.g. page 17, Agitation

 ii. Without drugs e.g. page 17, Agony Anguish
 iii. Cross-reference is given in main heading itself. E.g.
 Page no: 616, erections penis.
 Page no: 616, Masturbation Seminal emissions.
 i. Cross-reference is given to different chapters also. E.g.
 Page no: 637, Mammae Chapter 24, i.e. in Pregnancy, Parturition, Lactation chapter.
 Page no: 1007, Sensation Chapter 43, i.e., Sensation in general chapter.
 ii. Cross-references are given at the end of sub rubrics. E.g.
 Page no: 17, Agitation Excitement, Restless.
 i. Cross reference given even in sub sub rubrics also. E.g.
 Page no: 37, Delusion, vision, on closing eyes eyes closed.
 Page no: 37, Delusion, vision, of faces faces.
 ii. Cross-reference is given in Index also. E.g.
 Page no: 1219, Achroma, Vitiligo

– denotes Observation from old school. E.g.
 Page no: 1031, Chapter 36, Nerves, Paralysis mental condition of the insane, Chloral
 Page no: 840, Chapter 29, Heart, Pulse and Circulation, Pericardium, effusion: Sal. Ac.

t – toxicological extract. E.g.
 Page no: 1005, Chapter 35, Rest, Position, Motion, Position, lying down, motionless: t Ant.t
 Page no: 840, Chapter 29, Heart, Pulse and Circulation, Palpitation, with vertigo; t Aethus.

 – Symptoms observed in sick only. E.g.
 Page no: 1036, Chapter 36, Nerves, Trembling, of jaw:  Aur. mur.
 Page no: 1037, Chapter 36, Nerves, Twitching,  Atrop. S
 – Stands between cured symptom and pathological condition or physiological general. Not used in book, it is given in parenthesis.
 E.g. Page no: 19, Chapter 1, Mind and Disposition, Answer with difficulty (anasarca): Hell.
 Page no: 964, Chapter 33, Lower Limbs, Legs, muscles: harder than normal (Duchenne’s pseudo-hypertrophic paralysis), I Phos.
 Sometimes synonyms are given within brackets. E.g.
 Page no: 26, chagrin (mortification)

Treatment results are given within brackets. E.g.
 Page no: 280, Upper Face, Face, cancer, obstinate lupus (improved), Graph
 Page no: 280, Upper Face, Face, cancer, on right malar bone (relieved), Syph.

Drug relationships are given within brackets. E.g.
 Page no: 280, Upper Face, Face, cancer, lupus, began on right earlobe, healing one side, corroding the other, advancing downward and leaving irregular cicatrix (after Bell.), II Sil
 Page no: 313, Lower Face, Lower jaw, submaxillary glands, engorged, I Merc. cy. (complementary of Hep. And Phos.)

 Page no: 341, Taste and Tongue, Tongue, burning, stinging (Apis 30 relieved), Vespa
Few guidelines are given by author for administering the remedy. E.g.
 Page no: 1170, Eruption, variola, intense inflammation of throat, which prevents swallowing and threatens suffocation (1/10 gramme to 120 grammes water used as a gargle), I Merc. cor.
 Page no: 380, Throat, Throat, inflammation, prevents swallowing and threatens suffocation, with small pox (gramme to 120 grammes water used as gargle), I Merc. cor.

TOTALITY OF SYMPTOMS:
 If the totality of the case fits into the following order, Knerr’s repertory will be useful.
 1.Temperament and stages of life and constitution.
 2.Mind and disposition with described symptoms/concomitants.
 3.Physical generals (appetite, aversion, perspiration, etc).
 4.Complaints with special features. (Modalities, concomitants, directions, etc)
 5. Tissue affinities, sensations, and modalities.
 Single symptoms can also be referred with its detail, which would help one to prescribe in an acute case or so called short case.

KNERR REPERTORY USED AS A SOURCE FOR OTHER REPERTORIES:
 MAC REPERTORY
 HOMOEOPATHIC MEDICAL REPERTORY
 SYNTHETIC REPERTORY
 REPERTORIUM HOMEOPATHICUM SYNTHETICUM
 KENT’S REPERTORIUM GENERALE
 THE COMPLETE REPERTORY
 REPERTORY OF HOMOEOPATHIC MATERIA MEDICA BY DR. J. T. KENT, M.D, SIXTH AMERICAN EDITION, PATEL. R. P
 HOMPATH CLASSIC 8.0 VERSION

MERITS:
 1) Symptoms are arranged in the same language as they have been noted during drug proving, cures or other sources.
 2) There is no need of evaluation of symptoms or to make a symptom complete as it is necessary for Kent’s and Boenninghausen’s repertory. Hence it is easy to practice and a chance of fault thus may be avoided.
 3) A wide range of symptoms is included in this repertory, and clinical and pathological conditions are also dealt in more details. Hence it is more useful in clinical practice.
 4) There are few extra chapters which are not found in other repertories separately e.g.
a) PREGNANCY. PARTURITION. LACTATION.
b) HEART, PULSE AND CIRCULATION.
c) LIMBS IN GENERAL.
d) NERVES.
e) TIME.
f) ATTACKS, PERIODICITY
g) LOCALITY AND DIRECTION.
h) TOUCH. PASSIVE MOTION. INJURIES.
i) STAGES OF LIFE AND CONSTITUTION1.

 It can be used as a reference book.
 5) There is a plenty of material in the book and can be used for research purpose.
 6) All the rubrics are well authenticated as they are directly taken from Hering Guiding Symptoms and hence can be verified at once.
 7) The sections namely Temperature and Weather, Stages of Life and Constitution and Tissue Affinities gives us valuable information and plenty of material to work on.
 8) Many pathological rubrics are seen showing the drug affinities.
 9) One can make additions to Kent’s repertory wherever justified. For example: aversion to amusement – Ignatia; aversion to her children – Platina; aversion in women to opposite sex – Raphanus, not seen in Kent.
 Knerr’s repertory is mainly based on concomitant symptoms.
 10) It is repertory of cured symptoms.
 11) This repertory is supplemented by complete index of locality and terms.
 12) Knerr’s repertory can be used as clinical repertory where pathological and diagnostic names are given to the fullest.
 13)Although it mixes pathogenic and clinical data, it contains several rubrics that cannot be found anywhere else.
 14) The reliability of the symptoms and the remedies is doubly ensured by repeated verification, observations and confirmations.
 15) In comparison to Kent’s repertory, rubric placing is more appropriate in Knerr’s repertory.
 16) Errors in converting the patient’s symptoms into rubrics can be avoided by using this repertory.
 17) Today this repertory is acts as a guide for further work on repertory36.
 18) We have a Materia Medica to fall back on, when the repertory gives only confusing data.
 In both Kent and Boenninghausen, symptoms are split in many ways to suit the structure of the repertory. Such separation may have its uses. As Boenninghausen’s work is based on generation such separation is unavoidable, and necessary. But this separation and generalization spoil the use of ‘uncontaminated’ exact words of the prover. Surprisingly many patients present their complaints using the same words as in the repertory.
 19) There is a complaint that mostly Knerr leads to a partial similimum because we select the remedies from single symptoms and not as in Kent or Boenninghausen where all the important symptoms are written down and a common remedy, which covers most of the symptoms, is administered.
 20) This is not a valid assertion because even using Knerr this keynote prescriber par excellence; we take the Materia Medica as the final court of appeal. And in which cases require polychrests many cases that Kent and Knerr point to the same remedy after repertorization.
 21) Another major feature of Knerr repertory is giving what happens during a condition, what happens before it, what happens after it, everything in a single chapter. For example in the chapter female sexual organs we find the rubric menses. Under this various types of menses, color differences, quantity, duration etc are given. Following this are the rubrics before menses, during menses, after menses all in the same chapter.
 22) In cases spondylosis, prolapse of disc, sciatica etc the section on spine will be very useful. Dr. Phatak has given Phos acid as the only medicine for cervical spondylitis. Apparently the clue had come from Knerr repertory.

LIMITATIONS:
 Calvin .B. Knerr in his preface states the limitation of this repertory: “although the repertory is a faithful reproduction of the guiding symptoms, its contents classified and indexed, as a matter of course, in no way can take the place of the larger work. In a repertory we have separation by analysis for the purpose of classification and ready reference; in Materia Medica, combination by synthesis to enable us to study drug effects in their grand utility and relationship”.
 1) The biggest stumbling block to its use is the overly complex and graphically layout. With the advent of having it on computer and being able to search for words and phrases, much of that difficulty has been overcome.
 2) As there is no grading in marks, this repertory is not useful for actual mathematical repertorization.
 3) It has a less number of medicines and needs up gradation.
 4) Unfortunately in Knerr’s repertory, the arrangement though made very systematic and after lot of hard work, is not amenable to quick and useful repertorial analysis.
 5) As the rubrics are given in prover language the different shades of the same expressions are not seen which are very difficult to differentiate each other.
 6) This repertory too, like any concordance repertory is useful only for reference work and not for systemic repertorization.
 7) Of course, this repertory also requires lot of additions, since it is based only on the symptoms given in ‘Hering’s Guiding Symptoms’.
 8) The abbreviations used by different authors for remedies are often not coroporated aptly. E.g. Moaning, sleeplessness with: Crot c (Syn 182). This is an addition from Knerr’s repertory and Knerr’s abbreviation for Crotalus horridus is Crotal, also Hering’s Guiding Symptoms does not include Crotalus cascavella. Hence it should be corrected as Crotalus horridus.

 Wrong entries of cal p: Cal p “after menses, sexual excitement, insatiable desire; Cal p”. (Knerr p. 667). Such a symptom is not found in the GS we find the following symptom in the modality otherwise “Nymphomania, all organs in erection, with insatiable desire, particularly before catamenia” (GS vol 3, p232).
 “Before catamenia: Great sexual desire, followed by a copious flow” (GS vol3 p 232). In Knerr this symptom was found with the modality “after menses” (Knerr p.667). Possibly a wrong modality in Knerr repertory. The source GS however points out that the modality is ‘before menses’ and not ‘after menses’.

 1) Vaccinum and Variolinum are given together in Hering Guiding Symptoms of our Materia Medica with separate symptom intensity. But Knerr has given separately in index of drugs.
 2) Drugs found in Hering Guiding Symptoms of our Materia Medica but not given in index of Knerr repertory:
a) Aurum mur natronatrum – Aur mur nat
b) Iodoform – Iodof
c) Uva ursi – Uva ursi. But these drugs are found inside repertory proper.
 1) Thuja is given as Thuja in Hering Guiding Symptoms of our Materia Medica but in repertory it is given as Thuya. Probably it’s an error.
 1) Intensity is changed in certain symptoms.
 HGS: page 20, Acalypha indica: I Cough with bloody expectoration
 Knerr: page 773, Cough and expectoration, Expectoration, bloody: Acal.
 HGS: page 520, Argentum nitricum, II Desire for strong cheese
 Knerr: page 396, Appetite, Thirst, Desire, Aversion., Desire, cheese: Arg nit.
 HGS: page 382, Antimoniam tartaricum, I Desire for acids or fruits.
 Knerr: page 396, Appetite, Thirst, Desire, Aversion, Desire,acids:Ant t
 HGS: Aconitum Napellus, II Vertigo after fright.
 Knerr: page 88, Sensorium, Vertigo, from fright: I Acon
 2) Certain drugs not represented in Knerr but found in HGS. E.g.
 HGS: page 20, Acalypha indica: II Cough haemoptysis
 3) There are certain differences in similar symptoms. E.g
 HGS: Bovista, under Stool and Rectum, Diarhoea before and during menses. Under Female Sexual Organs, I Diarrhoea frequently before and during menses.
 Knerr: page 542, Stool and Rectum, Diarhoea, menses, before, Bov; before and during, Bov; during, Bov
 Page 657, Female Sexual Organs, Before menses, diarrhoea, I Bov, page 660, Female Sexual Organs, During menses, diarrhoea, I Bov
 HGS: Graphites, under Female Sexual Organs, I During menses, catarrhal fever, under Fever no symptom related to menses is given.
 Knerr: page 661, Female Sexual Organs, During menses, fever, Acon, Bell, Gels, Graph, Helon, Kali bi, Natr.m, Phos, Rhod, Sep, Sul. Similar rubric in page 1097, Fever, Fever, menses, during menses, Acon, Bell, I Coccus, Gels, I Graph, Helon, Natr.m, Phos, Rhod, Sep, Sul. are given. Here some drugs like Coccus, Kali bi are missing in During menses fever rubric. Also the intensity of Graph is changed.
 HGS: Ferr phos, under Fever given as Fever with cough. Under Cough, I Cough; slight fever.
 Knerr: page 1092, Fever, Fever, with cough, I Ferr.ph and in page 752, Cough and Expectoration, Cough, in fever, Ferr. ph
 . As per HGS the intensity of Knerr repertory should be given but here it is given in contradicting way.
 HGS: Graphites, under Female Sexual Organs, I During menses, catarrhal fever, under Fever no symptom related to menses is given.
 Knerr: page 661, Female Sexual Organs, During menses, fever, Acon, Bell, Gels, Graph, Helon, Kali bi, Natr.m, Phos, Rhod, Sep, Sul. Similar rubric in page 1097, Fever, Fever, menses, during menses, Acon, Bell, I Coccus, Gels, I Graph, Helon, Natr.m, Phos, Rhod, Sep, Sul. are given. Here some drugs like Coccus, Kali bi are missing in During menses fever rubric. Also the intensity of Graph is changed.
 HGS: Ferr phos, under Fever given as Fever with cough. Under Cough, I Cough; slight fever.
 Knerr: page 1092, Fever, Fever, with cough, I Ferr.ph and in page 752, Cough and Expectoration, Cough, in fever, Ferr. ph. As per HGS the intensity of Knerr repertory should be given but here it is given in contradicting way.

IN CHAPTERS:
 ATTACKS, PERIODICITY and SENSATIONS IN GENERAL chapters have only one main rubric.
 MIND AND DISPOSITION chapter has many rubrics (553 rubrics). Apart from this section next highest is TISSUE chapter (41 rubrics) followed by the EYE section (30 rubrics).
 MIND AND DISPOSITION chapter has many pages (87 pages). Apart from this section next highest is INNER HEAD chapter (67 pages) followed by the EYE section (62 pages).
 LOCALITY AND DIRECTION chapter is smallest chapter with one page.
 MIND AND DISPOSITION chapter is well represented with many rubrics and many pages followed by the EYE section, which is the next well-represented chapter.

IN RUBRICS:
 Total number of main rubrics are 924 rubrics.
 Page no: 1127, Sensation rubric has 94-sub rubric and it is the biggest rubric.
 Longest rubrics:
 Page no: 1161, Skin, Eruption, psoriasis, inveterate, in a man at 45, addicted to immoderate use of brandy, eight years ago was cured of amaurosis by electricity, and six months later cutaneous disease commenced, sickly appearance, vascular but thin, complexion dark, had gonorrhoea, chancre and buboes, and was drunk at first consultation, eruption first appeared on elbows, then knees and calves, at the diseased points skin first became thickened,
 then fissures appeared and finally white shiny hard adherent scales which were continually reproduced, occasionally rheumatic pains, I Mang
Certain general information is given as rubric:
 Page no: 408, Eating and Drinking, Drinking, tea, Is injurious to the young but beneficial to the old, because it increases nitrogenous bodies by diminishing tissue waste.

Certain prophylactics are given as rubric:
 Page no: Stool and Rectum, Cholera, A prophylactic, suggested by Hering, consisting of a pinch of powdered milk of sulphur (Lac sulphur), sprinkled into stockings and worn in contact with the soles of feet, has proved a successful preventive in several epidemics of Asiatic cholera. Aegidi recommends as a preventive one dose every evening for a week, of Chin. m. 0,001-0,006 and ozonized water.

IN LIST OF REMEDIES (ABBREVIATIONS):
 As per review of literature, the number of drugs given in the repertory is 408. Even in the list of remedies of repertory it is given as 408 drugs. Whereas in my critical study I found that the number of drugs are 411 and the drugs not found in list but found in repertory proper and drug relationship chapter are:
 Aurum mur natronatrum
 Iodoform
 Uva ursi

IN DRUG RELATIONSHIP:
 Every drug is arranged alphabetically. Total number of drugs given with cross-references are 416 drugs.
 Cross-reference to same drugs are given for 7 drugs. They are:
Chenopodi glauci aphis Aphis chenopodii
Eugenia Jambos Jambos
Gummi gutti Gambogia
Nitrum Kali nitrum
Physostigma Calabar
Viola tricolor Jacea
Hydrophobinum Lyssin
Creosotum Kreosotum(but Kreosotum not given)
Kreosotum given as cross-reference but not given in this chapter.

Drugs found in drug abbreviation but not found in this chapter are 2 drugs. They are:
 Ars sulf rubrum
 Plantago major
Drugs not in drug abbreviation but found in this chapter are 3 drugs. They are:
 Aurum mur natronatrum
 Iodoform
 Uva ursi
 Vaccinum and Variolinum given in this chapter but has no observation under it.

ANALYSIS AND EVALUATION OF SYMPTOMS FOR KNERR REPERTORY:
As per Hering’s view on Hahnemannian concept ranking of symptoms is based on:
 Symptoms should be alike and similar in intensity of drug.
 Next it should be treated from within to without.
 Last symptom appeared should be given prior importance though insignificant. Similarly the last drug given or the cause, which acted last, should be given first importance.
 In particular symptoms order of importance should be given as, locality, sensation, modality and associated symptom.

TOTALITY OF SYMPTOMS:
 As per symptoms available the totality can be framed as follows:

A. Mental generals
B. Constitution, stages of life, temperament
C. Causation
D. Side affinity, general modality, sensation in general
E. Appetite, desire, aversion, thirst, sleep, etc
F. Particulars – concomitant
– complete symptom.

SYSTEMIC REPERTORISATION: According to the textbooks, Knerr repertory cannot be used for systemic repertorization. But based on the totality of the case systemic repertorization be done. In cases with following symptoms can be dealt with this. Concomitants, diagnosis, common, pathology, keynote, fever totality, occupation, side affinity, time modalities, characteristic particulars, causation, physical generals, constitution, mental generals, complete symptom and also for drug relationship.

SPECIAL FEATURES:
 1) Mental condition given in all particular sections.
 2) Pregnancy, Parturition, Infants chapter is well represented and found nowhere in other repertories. Even children as a sub rubric are represented well.
 3) Concomitants in urine, stool, menses, and headache are well represented in this repertory.
 4) In Stages of Life and Constitution chapter, especially size, occupation, constitution, diathesis, and temperament is well represented and not found like this in any other repertories.
 5) In urine specific gravity is given.
 6) Pulse rate is given with remedies.
 7) Temperature is also given in Fahrenhiet with remedies.

 8) Tissue chapter gives the regional and remedy affinities to it.
 9) Touch, passive motion, injuries chapter is also well-represented chapter and found nowhere else.
 10) Percussion sounds given in lung are very useful for objective prescription where there is lack of subjective symptoms.
 11) It is source for many other repertories.
 12) It is the only one where Materia Medica is in the form of repertory with gradation.
 13) Though the drugs mentioned are very less, yet we get the chance of choosing different drugs of similimum, which are very authenticated other than polychrests also. This helps in easy selection of remedy in a narrow field.

Disadvantages
 1) Difficult to search the sub sub rubrics.
 2) Not easily comprehensible for the beginners.
 3) Finer rubrics and sub rubrics very difficult to distinguish each other especially in Sensorium chapter.
 4) Same rubric is repeated or found with similar meaning, but seen with different drugs.
 5) Nosodes are not represented well.
 6) Lack of detailed introduction part by the author regarding how to use the repertory.

TO BE DONE:
 1) Repertory should be reevaluated regarding its symptoms and its intensity from the source book.
 2) Sub sub sub rubrics should be easily available during search. Such change should be made making them italics as per alphabetical order.
 3) Drugs in drug list should be alphabetically abbreviated and arranged.
 4) Drugs like Kreosote, Plantago should be added in relationship.
 5) Thuya should be rectified as Thuja.

CONCLUSION:
 “We have only given the precious stones their settings. They have come from many mines. They have received the polish of years of clinical verification at the hands of our practitioners. Some shine with more brilliancy than others, all reflect the light of wisdom by which we are guided in healing the sick” – Calvin B. Knerr.

BIBLIOGRAPHY
 CONSTANTINE. HERING, M.D. The Guiding Symptoms Of Our Materia Medica, Volume II, III, V, VI, VII, VIII, IX,
 CONSTANTINE. HERING, M.D., Analytical Repertory Of The Symptoms Of The Mind,
 CALVIN B. KNERR, Repertory Of Hering’s Guiding Symptoms Of Our Materia Medica, Export Edition.
 SHASHI KANT TIWARI, Essentials Of Repertorization
 HARINADHAM. K, The Principles And Practice Of Repertorisation,
 VIDYADHAR R. KHANAJ, Reperire,

 CHITKARA. H.C, The Hahnemanian Monthly, Volume I, Number 1, August 1985.
 GEORGE VITHOULKAS, Teachers Meeting With George Vithoulkas, Aug 1998 In Alonissos, Quarterly Homoeopathic Digest – Vol Xviii, 1 And 2, 2001. Pg 68.
 MUTHUKUMAR. V, Journal Knerr’s Repertory In Practice, Homoeopathy In Practice. Quarterly Homoeopathic Journal, Vol.I, Jan, Feb, March 1993, No.1
 PARINAZHUMRANWALA, Repertory A Critical Study, National Journal Of Homoeopathy, Nov-Dec’97.
 VISWANATHAN. T.K Uses Of Lesser Known Or Used Repertories, National Journal Of Homoeopathy, Nov-Dec’97.

 The Heritage Of Homoeopathic Literature – Repertories.
 Quarterly Homoeopathic Digest – Vol XVIII, 3 And 4, 2001.
 WEBSITES:
 http://www.homeoint.org/biograph/heringen.htm
 http://www.homeoint.org/photo/h/heringc.htm
 http://www.hpathy.com/biography/c-hering.asp
 www.kenthomeopathic.com
 www.wholehealthnow .com
 http://www.wholehealthnow.com/books/repertory-hering-guiding.html.
 http://www.wholehealthnow.com/homeopathy_info/constantine_hering.html.

How to Use Selected Homeopathic Reemedy?
  1. How to take Homeopathic Medicines?
    Homeopathic Potencies must be taken in pills form. 2 - 6 Pills as prescribed must be taken into bottle lid or on to a dust free paper and then taken into mouth to chew the medicine until it is dissolved.
  2. How many day I have to take the medicine?
    Generally Homeopathic Physician will prescribe to take the main dose in only a single dose. that means take only 2-6 pills as Homeopathic doctor prescribed and don't take the next dose until the doctor suggested you to take.
  3. How may days I have to wait after taking single dose of Homeopathic Medicine?
    Homeopathic Doctor will suggest you to wait for at least 10 days in case of Chronic diseases. It is always better to wait as long as your symptoms are disappearing. In case of Acute diseases you need to wait for 5 minutes to one hour or one day according to the severity of Symptoms.
  4. What next I have to do after single dose?
    You need to wait for the period as doctor suggested. after that Doctor will suggest you next remedy according to the result from first prescribed dose.

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