UTILITY OF HOMOEOPATHIC MEDICAL REPERTORY BY ROBIN MURPHY IN THE MANAGEMENT OF ACUTE TONSILITIS AMONG ADULTS AN EXPERIMENTAL NON CONTROLLED STUDY

INTRODUCTION

Tonsils are believed to play protective role in early life by providing host resistance against infections, there by maintaining integrity of organism. Therefore cutting away tonsils will hamper natural defensive process provided by nature to the child.In homoeopathy we believe to restore the health of a person with protecting his bodys own tissues and structures. Treating tonsillitis with internally prescribed medicines will not only relieves symptoms of patients but also gives him and her internal relief with gentle cure. In this way we can also prevent the further progression of tonsillitis in need of surgical procedure like tonsillectomy.

Epidemiology–Tonsillitis is a common condition among children worldwide including in India. While specific statistics for India can vary, studies suggest that tonsillitis affects about 10-30 Percent of children at some point in their childhood. The condition is most prevalent in children between the ages of 5 and 15. Sore throat has an annual incidence of 100 in 1000 with tonsillitis accounting for approximately 32 in 1000 patients per year.

Tonsillitis an inflammation of the tonsils caused primarily by viral or bacterial infections is a common ailment that affects individuals of all age groups, particularly in children. In the Indian context tonsillitis is a frequently encountered condition  with its prevalence influenced by climatic variations population density  hygiene practices and socioeconomic factors.

Tonsils are two oval shaped tissue pads located at the back of the throat, one on each side. They serve as the body’s first line of Defense against bacteria and viruses that enter the mouth making them susceptible to infection and inflammation. As a child gets Older however the likelihood of infection decreases as well.

The most common symptoms of tonsillitis are pain and soreness on swallowing fever chills malaise  headache and a general feeling of discomfort.

A repertory is an index where information is stored or classified or is arranged systematically so that it can used more adventurously to reach similimum in short time.[5] repertory aid or help to find correct group of indicated homeopathic remedy, choice of proper similimum is still based on homoeopathic material medica.

An urgent and constant need was strongly felt by the professionals for a repertory which could meet the pace of development of modern pathology and internal medicine. This need was fairly and squarely met by the emergence of Homoeopathic Medical Repertoryauthored by Dr. Robin Murphy.

This repertory can be used for all types of cases.

The chapters on mind generals food mind perspiration constitution dreams delusion etc. Helps us to go through more classical generals to particulars whereas chapters like disease  emergency children toxicity  blood etc. contains plenty of clinical rubrics.

Murphys concept of totality is based on clinical as well as classical homoeopathic practice. It embraces principles of Kents generals Boenninghausens complete symptoms Bogers pathological generals and other stalwarts clinical principles of prescribing.

While Robin Murphy Repertory is widely used in homoeopathic practice few studies have evaluated its effectiveness as a standalone tool in acute clinical condition.

This study bridges the gapby assessing the utility of Repertory by Robin Murphy in the management of Acute tonsilitis. Thus will provide the clinical evidence for its effectiveness in adults.

Hence this study Is undertaken to understand Homoeopathic Medical Repertory by Dr. Robin Murphy in the Management of Acute Tonsilitis.

OBJECTIVES

Primary Objectives

To Study The Utility Of Homoeopathic Medical Repertory By Robin Murphy In The Management Of Acute Tonsilitis Among Adults.

Other Objective

1To Study The Rubric From The Homoeopathic Medical Repertory By Robin Murphy In The Management Of Acute Tonsilitis Among Adults.

2To Compare The Patient Pre-Treatment And Post Treatment For Acute Tonsillitis On Brodsky Grading Scale.

3To Compare The Patient Pre-Treatment And Post Treatment For Acute Tonsillitis On VAS Scale.

Operational Definition

Acute tonsilitis [ICD 11 MMS as Diagnosis code CA03.]

An Acute inflammation of tonsils typically caused by viral or bacterial infections and characterized by symptoms like sore throat fever and enlarged tonsils.

REPERTORY

Repertory is a systematically and logically arranged index to the homoeopathic Materia medica which is full of information collected from toxicology  drug proving and clinical experience. The repertory helps us to find out the required symptoms, together with the medicine or group of medicines having different grades. It is connecting link between Materia medica and diseases**.**

**Rubric –**It is the repertorial language in which a big sentence is expressed by few words with proper arrangement followed by comma. The word rubric originated from a Latin word Rubrica which means a heading or a guiding rule. A rubric is a repertorial language of representing a symptom and clinical terms.

Murphy repertory-

Homoeopathic medical repertory is based on principle of clinical as well as classical homoeopathic practice. this repertory has many clinical as well as pathological rubrics. It Repertory is mainly based on the repertory of homoeopathic Materia Medica by J.T Kent and Rep Repertory of Herings guiding symptoms of our Materia Medica by Dr. C. B. Knerr.