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Kent's Repertory - Chapters & Rubrics for Gynaecology, Obstetrics, Surgery & Practice of Medicine
Overview of Kent's Repertory
Kent's Repertory of the Homoeopathic Materia Medica contains 37 chapters (33 if urinary organs are counted as one), 648 medicines, arranged anatomically from Mind to Generalities. Rubrics are arranged alphabetically within each chapter, with gradations in 3 grades: Bold Roman (Grade I), Italics (Grade II), Roman (Grade III).
1. GYNAECOLOGY
Primary Chapter: GENITALIA - FEMALE (pp. 714-745)
This is the principal chapter for all gynaecological conditions. It covers pathology of the vulva, vagina, uterus, ovaries, and cervix.
Key Rubrics - Gynaecology:
| Rubric | Page | Condition Covered |
|---|
| Genitalia female (main rubric) | p. 714 | General female genital complaints |
| Abortion, fright, from | p. 715 | Threatened/spontaneous abortion |
| Condylomata, itching | p. 716 | Genital warts |
| Desire, increased / Nymphomania | p. 717 | Nymphomania |
| Eruptions, moist | p. 718 | Vulval eruptions |
| Heaviness | p. 719 | Prolapse, pelvic congestion |
| Irritation, clitoris | p. 720 | Clitoral irritation |
| Leucorrhoea (acrid / excoriating) | p. 722 | Vaginal discharge - corrosive |
| Leucorrhoea, scanty menses, with | p. 723 | Leucorrhoea with oligomenorrhoea |
| Leucorrhoea, before menses | - | Pre-menstrual discharge |
| Leucorrhoea, during pregnancy | - | Pregnancy-related discharge |
| Leucorrhoea, milky | - | White non-offensive discharge |
| Leucorrhoea, offensive | - | Foul-smelling discharge |
| Metrorrhagia, bright red | p. 730 | Intermenstrual/irregular bleeding |
| Metrorrhagia, polypus, from | p. 731 | Uterine polyp-related bleeding |
| Pain, ovaries, left | p. 732 | Left ovarian pain (PCOS, cyst) |
| Pain, ovaries, walking | p. 733 | Pain on movement |
| Pain, uterus, lying down, on | p. 734 | Uterine pain - positional |
| Pain, vagina, after epistaxis | p. 735 | Vicarious menstruation |
| Pain, bearing down, uterus | p. 736 | Uterine prolapse, PID |
| Pain, burning, ovaries, walking | p. 737 | Oophoritis |
| Pain, cramping, uterus, up the back | p. 738 | Dysmenorrhoea, endometriosis |
| Pain, griping, uterus | p. 739 | Uterine colic |
| Pain, sharp, uterus | p. 741 | Acute uterine pain |
| Pain, stinging, ovaries, cold amel. | p. 742 | Ovarian neuralgia |
| Pain, tearing, ovaries | p. 743 | Ovarian pain - tearing type |
| Pulsating, ovaries, standing, while | p. 744 | Ovarian congestion |
| Tingling, voluptuous | p. 745 | Erotic sensations |
Also look in:
- ABDOMEN chapter - rubrics for pain bearing down, ovarian/uterine masses
- GENERALITIES chapter - hormonal/constitutional rubrics
- BACK chapter - pain during menses, bearing down
2. OBSTETRICS
Primary Chapter: GENITALIA - FEMALE (pp. 714-745) - continued
Obstetric rubrics are embedded within the Genitalia Female chapter.
Key Rubrics - Obstetrics:
| Rubric | Page | Condition Covered |
|---|
| Abortion, fright, from | p. 715 | Miscarriage from emotional shock |
| Lochia, returning | p. 724 | Recurrence of post-partum discharge |
| Menses, black, pitch-like | p. 725 | Dark, tarry menstrual blood |
| Menses, copious, nymphomania, with | p. 726 | Heavy bleeding with mental symptoms |
| Menses, lactation, during | p. 727 | Menstruation during breastfeeding |
| Menses, pitch-like | p. 728 | Pitch-like menses |
| Menses, suppressed, cold, from | p. 729 | Amenorrhoea from cold exposure |
| Pain, labor pains, spasmodic | p. 740 | Irregular/spasmodic labor pains |
| Labor-like pain | - | False labor / prodromal labor |
| Labor pains (various modalities) | - | Management during parturition |
| Leucorrhoea, during pregnancy | - | Gestational leucorrhoea |
Also look in:
- GENERALITIES - rubrics for pregnancy-related generals (e.g., worse during pregnancy)
- BACK - back pain during labor
- MIND - mental/emotional symptoms in pregnancy, post-partum depression equivalents
- STOMACH - nausea/vomiting of pregnancy (morning sickness)
3. SURGERY
Surgery-related rubrics are distributed across multiple chapters in Kent's Repertory. The repertory helps with pre-operative selection of simillimum, post-surgical effects, and preventing surgical conditions.
Primary Chapters for Surgical Conditions:
A. ABDOMEN (pp. 541-605)
| Rubric | Surgical Condition |
|---|
| Intussusception | Bowel obstruction |
| Pain, region of liver | Hepatic disorders needing surgery |
| Inflammation, appendix | Appendicitis |
| Hernia | Inguinal/umbilical hernia |
| Abscess | Intra-abdominal abscess |
| Swelling | Abdominal masses |
B. RECTUM (pp. 606-635)
| Rubric | Surgical Condition |
|---|
| Hemorrhoids | Haemorrhoidectomy |
| Abscess | Ano-rectal abscess |
| Fistula | Fistula-in-ano |
| Fissure | Anal fissure |
C. SKIN Chapter
| Rubric | Surgical Condition |
|---|
| Ulcers | Varicose/diabetic ulcers |
| Abscesses | Soft tissue infection |
| Warts, condylomata | Skin growths requiring excision |
D. GENERALITIES (pp. 1341-1423)
| Rubric | Surgical Condition |
|---|
| Operations, after (ill effects of) | Post-operative complications |
| Injuries, after | Trauma / wound management |
| Wounds, lacerated | Lacerations |
| Wounds, punctured | Puncture wounds |
| Anaesthesia, effects of | Post-anaesthetic recovery |
| Septicemia | Post-operative sepsis |
| Gangrene | Gangrenous conditions |
| Emaciation | Post-surgical cachexia |
| Hemorrhage | Surgical bleeding |
| Calculi (renal, biliary) | Gall stones, kidney stones |
E. BLADDER / KIDNEYS / URETHRA Chapters
| Rubric | Surgical Condition |
|---|
| Calculi | Urolithiasis - lithotripsy |
| Retention of urine | Post-operative urinary retention |
| Inflammation | Pyelonephritis, UTI |
Key concept: Kent himself noted that pathological rubrics in Generalities contain only leading remedies for the referenced clinical condition. Surgical rubrics are typically high-grade remedies used for prevention or post-operative recovery.
4. PRACTICE OF MEDICINE
Practice of Medicine rubrics in Kent's Repertory are spread across multiple chapters, primarily in the GENERALITIES and organ-specific chapters. They cover clinical conditions met in general medical practice.
Chapter Distribution for Practice of Medicine:
A. GENERALITIES (pp. 1341-1423) - Most Important
This is the largest repository of clinical/pathological rubrics:
| Rubric | Clinical Condition |
|---|
| Anaemia | Anaemia |
| Cachexia | Malnutrition, wasting diseases |
| Cancer (various sites) | Malignancies |
| Convulsions, epileptic | Epilepsy |
| Diabetes mellitus | Diabetes |
| Dropsy | Oedema / Cardiac failure |
| Emaciation | Wasting disorders |
| Fever, various types | Fevers - malarial, typhoid |
| Gout | Gouty arthritis |
| Haemorrhage | Bleeding disorders |
| Hypertension (indirect rubrics) | Cardiovascular disease |
| Jaundice | Hepatic conditions |
| Inflammation | Acute inflammations |
| Rheumatism | Musculoskeletal disorders |
| Septicaemia | Systemic infection |
| Trembling | Neurological conditions |
B. MIND Chapter (pp. 1-95) - Largest chapter (529 rubrics)
| Rubric | Clinical Relevance |
|---|
| Anxiety | Anxiety disorders |
| Delirium | Acute confusional states |
| Delusions | Psychosis |
| Fear (of disease, death, etc.) | Phobias, hypochondriasis |
| Memory, weakness | Dementia, cognitive decline |
C. FEVER Chapter (pp. 1278-1340)
Key for febrile illnesses in general practice:
| Rubric | Clinical Condition |
|---|
| Intermittent fever | Malaria |
| Continued fever | Typhoid, typhus |
| Remittent fever | Viral fevers |
| Hectic fever | Tuberculosis |
D. STOMACH Chapter (pp. 476-540)
| Rubric | Clinical Condition |
|---|
| Nausea | Nausea of any cause |
| Vomiting (various types) | Gastritis, peptic ulcer |
| Appetite (loss/excess) | Anorexia, diabetes |
| Cancer | Gastric carcinoma |
| Ulcers | Peptic ulcer disease |
Summary Table: Chapter-to-Subject Mapping
| Subject | Primary Chapter(s) in Kent's | Page Range |
|---|
| Gynaecology | Genitalia - Female | pp. 714-745 |
| Obstetrics | Genitalia - Female (labor, lochia, menses, abortion) | pp. 715-740 |
| Surgery | Rectum, Abdomen, Skin, Generalities | Various |
| Practice of Medicine | Generalities, Mind, Fever, Stomach | pp. 1-95; 476-540; 1278-1423 |
Exam Tips
- Genitalia - Female (pp. 714-745) is the single most important chapter for both Gynaecology and Obstetrics exams. Know it well.
- Generalities (pp. 1341-1423) is the "catch-all" chapter for clinical/pathological rubrics used in Surgery and Practice of Medicine - it is the second most important chapter for these subjects.
- Mind chapter (529 rubrics, pp. 1-95) is the largest chapter and is relevant to Practice of Medicine (psychiatric and psychosomatic diseases).
- In Surgery, key rubrics like "Operations, after", "Injuries", "Gangrene", "Calculi" are all found in Generalities.
- When a condition isn't in the expected anatomical chapter, always check Generalities - it contains many clinical pathological rubrics as secondary locations.