Grading of symptoms according to Dr Boger

Of far greater importance are the individualistic symptom groupings, for they generally show forth the real man, his moods, his ways and his particular reactions. Occurring singly, in small groups or at indefinite intervals, they often seem to lack distinctive support, hence are more difficult to link together and interpret. This encourages palliative medication as well as makes real curing much harder. On the other hand cases presenting very numerous symptoms are hard to unravel, especially when brooded over by an active imagination. The final analysis of every case resolves itself into the assembling of the individualistic symptoms into one group and collecting the disease manifestations into another, then finding the remedy which runs through both, while placing the greater emphasis on the former. This method applies to repertory making just as fully as it does to case taking and prescribing. Therefore the over large rubrics of our repertories are likely to be more useful for occasional confirmatory reference, than for the running down of the final remedy. By eliminating all but the two highest grades of remedies in the large, general and including all the confirmed ones in the smaller rubrics we bring to the fore the largest possible number of characteristics. While the grading of symptoms largely depends upon their discovery and the extent of subsequent confirmation obtained for every one of them, their spheres of action are also of vast importance, and may not be safely left out of the calculation, because they go far toward certifying the choice of the remedy.  Viewed from this standpoint symptom grading, as found in the repertories, is unsatisfactory as well as of lesser importance, and yet has great value. The relative value of a given symptom depends almost wholly upon its setting, therefore changes from case to case and is only finally determined as to its repertorial standing by numerous clinical trials. A case in point: Intolerance of clothes about the neck is found in the provings of, quite a number of remedies, but it remained for Hering’s Lachesis to show that it very decidedly outranks them all, and has really only a few straggling followers. This is a particular which accentuates the value of Lachesis over Glonoinum if the patient is intolerant of heat, but if sensitive to cold Sepia takes the lead.

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