A Comparative Repertorial Overview: Rubrics Of Corneal Disorders In Clinical And General Repertories

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-by Dr.S.Bidwalkar1, Dr Ankita Upadhyay2, Dr Noopur Kumari3

Abstract: This article centralizes to compare the rubrics of corneal disorders from Complete Repertory to the Homoeopathic Materia Medica on the disease of the eyes- Berridge which is a clinical repertory to other general repertories Boenninghausen’s Characteristics & Repertory by C. M. Boger and Repertory to the Homoeopathic Materia Medica by J.T. Kent. It is a comparative analytical study which will clinically and academically enhance the pertinence of repertories for academicians and young clinicians.

Keywords: Clinical repertory, general repertory, Homoeopathy, Repertory to the Homoeopathic Materia Medica by J.T. Kent, Boenninghausen’s Characteristics & Repertory by C. M. Boger, corneal opacity, corneal ulcers, arcus senilis, carcinoma.

Introduction: Homoeopathy has got the humongous domain to offer the treatment of corneal disorders which are encountered in day to day clinical practice where other system of medicines has got limited effectiveness and ultimately they opt for the surgical interventions. ICD 10 for unspecified corneal disorder is H18.9. 1In these article rubrics related to clinical conditions of cornea such as inflammation, opacity, carcinoma, chemosis, degeneration (including ageing degeneration), fistula, ulcers, eruptions along with discolouration are compared. Inflammation of the cornea (keratitis) is characterized by corneal oedema, cellular infiltration and ciliary congestion. The term ‘corneal opacity’ is used particularly for the loss of transparency of cornea due to scarring. Corneal degeneration refers to conditions in which the normal cells undergo some degenerative changes under the influence of age or some pathological conditions. Corneal fistula is formed when the perforation in the pupillary area is not plugged by iris and is lined by epithelium which gives way repeatedly. There occurs continuous leak of aqueous through the fistula. Corneal ulcers may be defined as discontinuation in the normal epithelial surface of the cornea associated with necrosis of the surrounding corneal tissue. Pathologically, it is characterized by oedema and cellular infiltration.2

Table 1: Showing comparison of the rubrics of corneal disorder from clinical and general repertories

S.No. Symptom Complete repertory to the Homoeopathic materia medica on diseases of the eye- Berridge (clinical repertory)* 3 Repertory of the homoeopathic materia medica- J.T Kent4 Boger Boenninghausen’s Characteristics and Repertory- C.M Boger5
1 Complaints of cornea ·   EYES – Cornea [localization]
2 Appearance of cornea ·   CORNEA-APPEARANCE, Bright

·   CORNEA-APPEARANCE, Glassy

 

 

3 Arcus senilis ·  CORNEA-ARCUS senilis ·   EYE – OPACITY of cornea – arcus senilis ·   EYES – Arcus senilis

 

4 Corneal carcinoma ·  EYE – CANCER – epithelioma – cornea,of ·   EYES – Cancer
5 Chemosis of cornea ·  EYE – CHEMOSIS – cornea
6 Conical cornea ·   CONICAL-cornea
7 Corneal degeneration ·  DEGENERATE-cornea
8 Corneal discoloration ·   CORNEA- COLOR, Dark

·   CORNEA- COLOR, Red

·   CORNEA- COLOR, White

9 Corneal eruptions  

·   CORNEA-ERUPTIONS, Absesses

·   CORNEA-ERUPTIONS, Pimples

·   CORNEA-ERUPTIONS, Pustules

·   CORNEA-ERUPTIONS, Vesicles

·  EYE – ERUPTIONS, – herpes – cornea

·  EYE – VESICLES on the cornea

 

·   EYES – Cornea – maculae on

·   EYES – Cornea – painful

·   EYES – Cornea – pustules

·   EYES – Cornea – vascular

·   EYES – Cornea – warty growth

 

10 Corneal fistula ·   EYE – FISTULA – of the cornea
11 Inflammation of the cornea CORNEA- SMARTING ·  EYE – INFLAMMATION – cornea
12 Injected cornea ·   EYE – INJECTED – cornea
13 Corneal opacity CORNEA–OPACITY(specks) ·   EYE – OPACITY of cornea

·   EYE – OPACITY of cornea – left

·   EYE – OPACITY of cornea – punctuated

·   EYE – OPACITY of cornea – right

·   EYE – OPACITY of cornea – smallpox,after

·   EYE – OPACITY of cornea – vitreous

·   EYE – OPACITY of cornea – wounds,from

 

 

EYES – Cornea – opacity or cloudiness

 

14 Projecting cornea CORNEA- PROJECTING
15 Sunken cornea CORNEA-SUNKEN
16 Corneal ulcer ·   EYE – ULCERATION, – cornea

·   EYE – ULCERATION, – cornea – one,then the other

·   EYE – ULCERATION, – cornea – painful

·   EYE – ULCERATION, – cornea – scars,from

·   EYE – ULCERATION, – cornea – vascular

 

·     EYES – Ulcer – corneal

·     EYES – Cornea – ulcers on

·     EYES – Cornea – ulcers on – edge

*Typography is used in relation to the rubrics and not to indicate the marks of the medicines2

CONCLUSION AND DISCUSSION:  Since repertory is a systematically and logically arranged index to the homoeopathic materia medica which helps in logical elimination of apparently similar medicines for the selection of similimum. Amongst general repertories (Boenninghausen’s Characteristics & Repertory by C. M. Boger and Repertory to the Homoeopathic Materia Medica by J.T. Kent) and clinical repertory (Complete repertory to the Homoeopathic materia medica on diseases of the eye- Berridge), general repertories come out to be more convenient as the rubrics and sub rubrics are more explanatory and the subsections of the chapters have relevant typography to explain the gradation of the medicine unlikely to clinical repertory. This clinical repertory has typography in relation to rubrics and not to indicate the gradation of medicine. Also, the number of rubrics are less. Thus this article remains useful for academicians and clinicians to quickly compare the role of general and clinical repertories in corneal disorders.

References-

  1. ICD-10-CM Code H18.9 Unspecified disorder of cornea [Internet]. ICD.Codes – The Medical Coding Resource. [cited 2019Feb27]. Available from: https://icd.codes/icd10cm/H189
  2. Khurana AK. Comprehensive ophthalmology. New Delhi: Jaypee Brothers Medical Publishers; 2015.
  3. Berridge EW. Complete repertory to the Homoeopathic materia medica on diseases of the eye. New Delhi, 1991: B. Jain Publishers (P) Ltd.
  4. Kent JT, Kent CL. Repertory of the homoeopathic materia medica. Noida: B. Jain Publishers (P) Ltd.; 2016.
  5. Boger C.M. Boenninghausen’s Characteristics & Repertory. New Delhi:B.Jain Publisher(P) LTD.2013

About the author:

  1. Dr S. Bidwalkar

Professor & Head, Department of Repertory, Dr M.P.K.H.M.C.H & R.C., a constituent college of Homoeopathy University, Saipura, Sanganer, Jaipur

  1. Dr Ankita Upadhyay

MD(Hom.) Part-2  Dept of Repertory

Dr M.P.K.H.M.C.H & R.C., a constituent college of Homoeopathy University, Saipura, Sanganer, Jaipur

  1. Dr Noopur Kumari

MD(Hom.) Part-2 Dept of Repertory

Dr M.P.K.H.M.C.H & R.C., a constituent college of Homoeopathy University, Saipura, Sanganer, Jaipur

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