Boenninghausen method
Luc explained, "The Boger Boenninghausen
Repertory enlarges on Boenninghausen's
Therapeutic Pocketbook. Hahnemann's
Materia Medica Pura is based on provings on
himself [and his associates]. Boenninghausen
noticed that it didn't contain details like
sensations and modalities. I invite you to read
Boenninghausen's Lesser Writings. It's great.
It gives you a good idea about his practice. He
changed remedies quickly, not because he
alternated remedies, but because the symptom
picture changed. He liked to use olfaction of
remedies. For example, for trigeminal
neuralgia olfaction works extremely quickly.
Boenninghausen said that the conditions of
amelioration and aggravation don't belong to
a part of the body, they apply to the whole
person. He was criticized for this because
sometimes a remedy will have a modality for
a region that differs from the modality for the
rest of the person. For this reason Boger
added particular modalities to his repertory.
It almost becomes like Kent. But you shouldn't
mix symptoms from the Boger
Boenninghausen repertory with rubrics from
Kent or Synthesis."
"The Boger Boenninghausen Repertory is
based on aphorism 95 of the Organon.
'Chronic patients become so accustomed to
prolonged suffering that they no longer pay
much attention to their symptoms. They have
nearly forgotten how health really feels. It
hardly occurs to them that these less
troublesome symptoms which are greater or
lesser deviations from health are the key to
choosing the remedy.' In the Boger
Boenninghausen method mental and
emotional changes are the last to be taken
into account. With the Kentian method, the
better psychologist you are, the better
homeopath you are. In the Boger
Boenninghausen method when you have
narrowed it down to one or two remedies you
use the mental and emotional symptoms to
differentiate. In the Boger Boenninghausen
repertory, the section on mental and
emotional symptoms is much smaller than in
Kent."
Luc said, "When repertorizing the chief
complaint comes first. In other methods of
case analysis, you don't use the chief
complaint. If there is more than one
complaint, ask which is worst. The modalities
of the chief complaint are the most important.
It is such a decisive factor that if you have a
remedy with the concomitants, sensations,
and dreams of the patient but not the
modality, you must reject it. A remedy the
ranks very high in the modalities is the one
you choose. If there is a recognizable never
well since or etiology it comes first among the
modalities. Concomitant symptoms are
symptoms that go together with the chief
complaint. The less often it typically goes with
the complaint, the more important it is. For
example, diarrhea with headache is a
concomitant. The concomitant also has
modalities. For example, asthma with
increased urination. If there is an
aggravation of the concomitant that is the
same as of the chief complaint, it has
increased value. For example, eczema on the
head and white stools where both are
aggravated by milk. This is extremely
important. I have one more thing to say about
mental and emotional symptoms. Sometimes
the patient unconsciously projects something
onto the therapist. It's especially problematic
if it's something in the unconscious of the
therapist. It's dangerous because then we can
put too much emphasis on these symptoms."
Luc explained the structure of the repertory.
"The first part of the Boger Boenninghausen
repertory is a materia medica. It's okay, but
you won't need it. The repertory starts with
the mind section on page 191. It's limited, but
has good information. You go here for never
well since symptoms like jealousy. When using
the Boger Boenninghausen Repertory we like
big rubrics. The small subrubrics are used for
differentiating remedies. There are four
grades. Black type is three. Large caps are a
four. Italics are a two and plain type is a one.
Four means a remedy is found in most of the
provers and clinically confirmed. One means
the rubric is only clinical. Page 203 has the
important rubric 'grief, sorrow, and care'.
Page 210 has Love, unfortunate, a 'never well
since' rubric. Page 213 has 'persecuted
feels' (paranoia). Page 221 is 'vexation',
another never well since symptom. On page
222 are the time modalities and on page 223
is the start of the aggravations. The particular
aggravations were added by Boger. On page
230 there is a cross reference. 'Head, internal'
means headaches. First Boger gives the
location. Then he follows with sides (left and
right). On page 281 there are the conditions of
aggravation and amelioration. Page 302 is
hair. At the beginning of each section Boger
gives abbreviations for each of the principal
symptoms. Food cravings are under appetite,
on page 472. The first sticker should go on
page 678, concomitants before menses. Put
the next sticker at page 805, the start of the
extremities section."
"Page 885 has the rubric 'gait', which is
useful. Page 881 has sensations and
complaints in general. This should get a
sticker and is an important section. It
contains pathological symptoms, like
apoplexy. 'Carphology' means picking at the
clothes. Page 890 has convulsive movements,
spasms. Page 892 has direction of pain, which
is not in the other repertories. It should get a
sticker. Page 902 has 'Infants, affections of'
along with subrubrics. It deserves a sticker.
Infants means below two years old. On page
907 you have 'lassitude, physical', which
contains remedies for fatigue. On page 919 is
the rubric, side, symptoms on one On page
935 is the rubric 'weakness, exhaustion,
prostration, infirmity'. On page 1020 you
have 'chill and fever'. The most important
section starts on page 1105, and is deserving a
sticker. It is conditions of aggravation and
amelioration in general. It is the very first
section you go to when repertorizing a case.
Page 1103 has time modalities. It takes
precedence over the modalities in the various
sections. Page 1116 is totally hidden and
deserves a sticker. 'Emotions aggravate'. It is
the same as stress. Page 1119 has the food and
drink aggravations. Page 1126 has 'lifting and
overlifting aggravates'. Page 1154 has the
concordances. When you are successful with a
remedy and you need another remedy to
complete the case, you look at this section.
Remedy Relationships by by Thomas Blasig
and Peter Vint is useful as well. Page 1132 has
a rubric not in Kent: 'aggravations by phases
of the moon'. Page 358 has various causes of
deafness."
Luc then told us, "Here are the tips in using
Boenninghausen's method":
Choose big rubrics over the small.
The modality the patient gives first is
probably the most important.
If the rubric is small, less than an inch, take
all the remedies with a 4, 3, and 2. Put them
in order of their grade. Anything that scores 5
or more in the top two modalities, should be
included.
In big rubrics take 3 and 4. Use remedies that
score 7 or more in the top two rubrics.
The number of rubrics the remedy appears in
is more important than the total score. But,
look at where it scores. Modalities are more
important, but it almost never happens that a
remedy with fewer rubrics is in the
modalities.
If two remedies are close, the past medical
history will give you the choice. Ask about
symptoms during puberty or pregnancy.
If a remedy comes first in the repertorization
and the remedy doesn't work, try a higher
potency.
Often a remedy for an acute condition also
helps the chronic complaint. Remedies 2, 3, 4,
and 5 are probably remedies that patient will
need later.
Even if a case doesn't have modalities you can
still use the Boenninghausen method.
"The first case is a case of convulsions
reported in the Journal of Homeopathic
medicine and worked out with Kent's
Repertory. I also wanted to see if
Boenninghausen gave the same result."
His convulsions started with an aura always
in the left extremity and presented as shocks
or thrusts. His face became dark and dusky. It
was always worse during sleep, and at new
moon and triggered by fright. His convulsions
started at the feet and continued upwards to
the hands and arms. He was a very
loquacious individual otherwise.
"How we are going to work it.? Fill out the
sheet. with the rubrics:"
Chief Complaint
Convulsions
Modalities
1: Triggered by fright, page 1116
2: Worse during sleep, page 1141
3: Worse at new moon, page 1132
Concomitant Symptoms with their modalities
Dark, dusky face, page 394
Sensation
4: Shocks or thrusts, page 930
Locality
5: Start at feet and continue upwards to
hands, page 892
6: Aura, extremities in, page 883
7: Symptoms all on left side, page 921
Pathology
8: Spasms, convulsions in general, page 921
M/E changes
9: Loquacious, page 210
The first rubric we use the fours and threes,
since is is larger than an inch. Go to the first
rubric and write down the fours first. Then
write down the threes. Take the second
rubric.. Only consider remedies in the third
and fourth degrees, all others are eliminated.
Score the remedies you have now first. Then
eliminate any remedy that doesn't add to
seven. Score the remaining remedies for the
remaining rubrics. The highest scoring
remedies are cuprum, belladonna, and silica.
Belladonna doesn't score high in the
modalities, so it is eliminated.
Aco 4 3 - - 3 2 2 2 2 18/7
Ign 4 3 - - 1 4 1 3 - 16/6
Op 4 3 - 2 - - - 3 2 14/5
Pul 4 4 - - 1 2 1 3 - 15/6
Bel 3 4 - - 2 4 1 4 3 21/7
Sil 3 4 4 - 1 4 - - - 16/5
Cup 3 2 3 2 2 1 2 4 4 23/9
Caus 3 2 3 - 2 - 1 - 11/5
Luc said, "Most likely cuprum is the acute and
silica is the chronic remedy. I call cuprum,
argentum, and aurum the three metals of the
Olympic games. Only one person can get the
gold. To know the essence of a remedy you go
to the delusions. Cuprum has the delusion
they are a general, a sense of haughtiness. But
he has only reached an ordinary position. But
they lack a sense of imagination, they are
prosaic. Allopathic doctors are cuprum,
homeopathic doctors are silver. But silver has
a lot of illusions. A lot of expectations are
placed on homeopaths. A gold is a person who
gives and the person he gives to also becomes
a giver. The cuprum is a cramped individual
because they hang onto what they have very
strongly."
Q: What happens if you give the chronic
remedy when an acute is required?
A: During an acute episode you need to give
the acute, otherwise you risk getting a
complex disease. You treat with the acute first
and follow up with the chronic. If attacks
occur again, I give the acute as an
intercurrent.
Q: How should you evaluate the time
symptoms are worse and extending to?
A: Time symptoms are worse are scored as
modalities and extending to are scored as
locations.
"If you only have three or fewer modalities,
you should take the 4, 3, and 2 so that you
don't lose the remedy. If you don't have a lot
of rubrics, you can take all the rubrics that
seem to apply. With Boenninghausen's
method even when you get the wrong remedy,
it will be a close similimum. In this case 7 of
10 symptoms will disappear and 2 or 3 new
symptoms will be added. The's are the
symptoms of the remedy. You can bring the
case to a cure with the 5th or 6th Organon
methods."
"Use the fifth edition posology for 100% of
your acute cases. For a normal sensitive
person without skin condition, take a 4 oz
bottle and put one pellet of the 6C potency.
Put 20 drops of alcohol. Succuss it 8 times,
then take one teaspoon, put it in four ounce
cup, stir, take one spoonful. Hear from the
patient the next day. Look for a great
response (striking response) If you get that,
don't repeat. Otherwise repeat every day or
every other day while the patient is
improving. Succuss each dose. The biggest
mistake is to give the wrong potency and too
frequently."
Luc de Schepper
Luc explained, "The Boger Boenninghausen
Repertory enlarges on Boenninghausen's
Therapeutic Pocketbook. Hahnemann's
Materia Medica Pura is based on provings on
himself [and his associates]. Boenninghausen
noticed that it didn't contain details like
sensations and modalities. I invite you to read
Boenninghausen's Lesser Writings. It's great.
It gives you a good idea about his practice. He
changed remedies quickly, not because he
alternated remedies, but because the symptom
picture changed. He liked to use olfaction of
remedies. For example, for trigeminal
neuralgia olfaction works extremely quickly.
Boenninghausen said that the conditions of
amelioration and aggravation don't belong to
a part of the body, they apply to the whole
person. He was criticized for this because
sometimes a remedy will have a modality for
a region that differs from the modality for the
rest of the person. For this reason Boger
added particular modalities to his repertory.
It almost becomes like Kent. But you shouldn't
mix symptoms from the Boger
Boenninghausen repertory with rubrics from
Kent or Synthesis."
"The Boger Boenninghausen Repertory is
based on aphorism 95 of the Organon.
'Chronic patients become so accustomed to
prolonged suffering that they no longer pay
much attention to their symptoms. They have
nearly forgotten how health really feels. It
hardly occurs to them that these less
troublesome symptoms which are greater or
lesser deviations from health are the key to
choosing the remedy.' In the Boger
Boenninghausen method mental and
emotional changes are the last to be taken
into account. With the Kentian method, the
better psychologist you are, the better
homeopath you are. In the Boger
Boenninghausen method when you have
narrowed it down to one or two remedies you
use the mental and emotional symptoms to
differentiate. In the Boger Boenninghausen
repertory, the section on mental and
emotional symptoms is much smaller than in
Kent."
Luc said, "When repertorizing the chief
complaint comes first. In other methods of
case analysis, you don't use the chief
complaint. If there is more than one
complaint, ask which is worst. The modalities
of the chief complaint are the most important.
It is such a decisive factor that if you have a
remedy with the concomitants, sensations,
and dreams of the patient but not the
modality, you must reject it. A remedy the
ranks very high in the modalities is the one
you choose. If there is a recognizable never
well since or etiology it comes first among the
modalities. Concomitant symptoms are
symptoms that go together with the chief
complaint. The less often it typically goes with
the complaint, the more important it is. For
example, diarrhea with headache is a
concomitant. The concomitant also has
modalities. For example, asthma with
increased urination. If there is an
aggravation of the concomitant that is the
same as of the chief complaint, it has
increased value. For example, eczema on the
head and white stools where both are
aggravated by milk. This is extremely
important. I have one more thing to say about
mental and emotional symptoms. Sometimes
the patient unconsciously projects something
onto the therapist. It's especially problematic
if it's something in the unconscious of the
therapist. It's dangerous because then we can
put too much emphasis on these symptoms."
Luc explained the structure of the repertory.
"The first part of the Boger Boenninghausen
repertory is a materia medica. It's okay, but
you won't need it. The repertory starts with
the mind section on page 191. It's limited, but
has good information. You go here for never
well since symptoms like jealousy. When using
the Boger Boenninghausen Repertory we like
big rubrics. The small subrubrics are used for
differentiating remedies. There are four
grades. Black type is three. Large caps are a
four. Italics are a two and plain type is a one.
Four means a remedy is found in most of the
provers and clinically confirmed. One means
the rubric is only clinical. Page 203 has the
important rubric 'grief, sorrow, and care'.
Page 210 has Love, unfortunate, a 'never well
since' rubric. Page 213 has 'persecuted
feels' (paranoia). Page 221 is 'vexation',
another never well since symptom. On page
222 are the time modalities and on page 223
is the start of the aggravations. The particular
aggravations were added by Boger. On page
230 there is a cross reference. 'Head, internal'
means headaches. First Boger gives the
location. Then he follows with sides (left and
right). On page 281 there are the conditions of
aggravation and amelioration. Page 302 is
hair. At the beginning of each section Boger
gives abbreviations for each of the principal
symptoms. Food cravings are under appetite,
on page 472. The first sticker should go on
page 678, concomitants before menses. Put
the next sticker at page 805, the start of the
extremities section."
"Page 885 has the rubric 'gait', which is
useful. Page 881 has sensations and
complaints in general. This should get a
sticker and is an important section. It
contains pathological symptoms, like
apoplexy. 'Carphology' means picking at the
clothes. Page 890 has convulsive movements,
spasms. Page 892 has direction of pain, which
is not in the other repertories. It should get a
sticker. Page 902 has 'Infants, affections of'
along with subrubrics. It deserves a sticker.
Infants means below two years old. On page
907 you have 'lassitude, physical', which
contains remedies for fatigue. On page 919 is
the rubric, side, symptoms on one On page
935 is the rubric 'weakness, exhaustion,
prostration, infirmity'. On page 1020 you
have 'chill and fever'. The most important
section starts on page 1105, and is deserving a
sticker. It is conditions of aggravation and
amelioration in general. It is the very first
section you go to when repertorizing a case.
Page 1103 has time modalities. It takes
precedence over the modalities in the various
sections. Page 1116 is totally hidden and
deserves a sticker. 'Emotions aggravate'. It is
the same as stress. Page 1119 has the food and
drink aggravations. Page 1126 has 'lifting and
overlifting aggravates'. Page 1154 has the
concordances. When you are successful with a
remedy and you need another remedy to
complete the case, you look at this section.
Remedy Relationships by by Thomas Blasig
and Peter Vint is useful as well. Page 1132 has
a rubric not in Kent: 'aggravations by phases
of the moon'. Page 358 has various causes of
deafness."
Luc then told us, "Here are the tips in using
Boenninghausen's method":
Choose big rubrics over the small.
The modality the patient gives first is
probably the most important.
If the rubric is small, less than an inch, take
all the remedies with a 4, 3, and 2. Put them
in order of their grade. Anything that scores 5
or more in the top two modalities, should be
included.
In big rubrics take 3 and 4. Use remedies that
score 7 or more in the top two rubrics.
The number of rubrics the remedy appears in
is more important than the total score. But,
look at where it scores. Modalities are more
important, but it almost never happens that a
remedy with fewer rubrics is in the
modalities.
If two remedies are close, the past medical
history will give you the choice. Ask about
symptoms during puberty or pregnancy.
If a remedy comes first in the repertorization
and the remedy doesn't work, try a higher
potency.
Often a remedy for an acute condition also
helps the chronic complaint. Remedies 2, 3, 4,
and 5 are probably remedies that patient will
need later.
Even if a case doesn't have modalities you can
still use the Boenninghausen method.
"The first case is a case of convulsions
reported in the Journal of Homeopathic
medicine and worked out with Kent's
Repertory. I also wanted to see if
Boenninghausen gave the same result."
His convulsions started with an aura always
in the left extremity and presented as shocks
or thrusts. His face became dark and dusky. It
was always worse during sleep, and at new
moon and triggered by fright. His convulsions
started at the feet and continued upwards to
the hands and arms. He was a very
loquacious individual otherwise.
"How we are going to work it.? Fill out the
sheet. with the rubrics:"
Chief Complaint
Convulsions
Modalities
1: Triggered by fright, page 1116
2: Worse during sleep, page 1141
3: Worse at new moon, page 1132
Concomitant Symptoms with their modalities
Dark, dusky face, page 394
Sensation
4: Shocks or thrusts, page 930
Locality
5: Start at feet and continue upwards to
hands, page 892
6: Aura, extremities in, page 883
7: Symptoms all on left side, page 921
Pathology
8: Spasms, convulsions in general, page 921
M/E changes
9: Loquacious, page 210
The first rubric we use the fours and threes,
since is is larger than an inch. Go to the first
rubric and write down the fours first. Then
write down the threes. Take the second
rubric.. Only consider remedies in the third
and fourth degrees, all others are eliminated.
Score the remedies you have now first. Then
eliminate any remedy that doesn't add to
seven. Score the remaining remedies for the
remaining rubrics. The highest scoring
remedies are cuprum, belladonna, and silica.
Belladonna doesn't score high in the
modalities, so it is eliminated.
Aco 4 3 - - 3 2 2 2 2 18/7
Ign 4 3 - - 1 4 1 3 - 16/6
Op 4 3 - 2 - - - 3 2 14/5
Pul 4 4 - - 1 2 1 3 - 15/6
Bel 3 4 - - 2 4 1 4 3 21/7
Sil 3 4 4 - 1 4 - - - 16/5
Cup 3 2 3 2 2 1 2 4 4 23/9
Caus 3 2 3 - 2 - 1 - 11/5
Luc said, "Most likely cuprum is the acute and
silica is the chronic remedy. I call cuprum,
argentum, and aurum the three metals of the
Olympic games. Only one person can get the
gold. To know the essence of a remedy you go
to the delusions. Cuprum has the delusion
they are a general, a sense of haughtiness. But
he has only reached an ordinary position. But
they lack a sense of imagination, they are
prosaic. Allopathic doctors are cuprum,
homeopathic doctors are silver. But silver has
a lot of illusions. A lot of expectations are
placed on homeopaths. A gold is a person who
gives and the person he gives to also becomes
a giver. The cuprum is a cramped individual
because they hang onto what they have very
strongly."
Q: What happens if you give the chronic
remedy when an acute is required?
A: During an acute episode you need to give
the acute, otherwise you risk getting a
complex disease. You treat with the acute first
and follow up with the chronic. If attacks
occur again, I give the acute as an
intercurrent.
Q: How should you evaluate the time
symptoms are worse and extending to?
A: Time symptoms are worse are scored as
modalities and extending to are scored as
locations.
"If you only have three or fewer modalities,
you should take the 4, 3, and 2 so that you
don't lose the remedy. If you don't have a lot
of rubrics, you can take all the rubrics that
seem to apply. With Boenninghausen's
method even when you get the wrong remedy,
it will be a close similimum. In this case 7 of
10 symptoms will disappear and 2 or 3 new
symptoms will be added. The's are the
symptoms of the remedy. You can bring the
case to a cure with the 5th or 6th Organon
methods."
"Use the fifth edition posology for 100% of
your acute cases. For a normal sensitive
person without skin condition, take a 4 oz
bottle and put one pellet of the 6C potency.
Put 20 drops of alcohol. Succuss it 8 times,
then take one teaspoon, put it in four ounce
cup, stir, take one spoonful. Hear from the
patient the next day. Look for a great
response (striking response) If you get that,
don't repeat. Otherwise repeat every day or
every other day while the patient is
improving. Succuss each dose. The biggest
mistake is to give the wrong potency and too
frequently."
Luc de Schepper
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