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Critical Analysis of Mintonís Therapeutics


Homeopathic Journal :: Volume: 2, Issue: 10, Aug, 2009 (General Theme)   -   from Homeorizon.com
Author : Dr. P. Singh, M.D. (Hom) India
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Article Updated: Sep 02, 2009


Author: Henry Minton.

Year of Publication: 1883.

Edition/Publication: 1995 Reprint Edition / B. Jain Publishers (Pvt) Ltd.

About the Author: Henry Minton is the famous author of "Diseases of Women and Children". He was also the Editor of "The Homeopathic Journal of Obstetrics and Diseases of Women and Children".

About the Repertory: The "Uterine Therapeutics" is a useful monograph on the problems of menstruation and other related functions. It is a result of 16 years of patient study and clinical practice of the author. A large part of the symptomatology of the work was published in the "American Journal of Homeopathic Materia Medica, during the year 1874-75.

Aim of the Book: The aim of this repertory is to collect and arrange in a systematic and convenient form for ready reference all those symptoms of Materia Medica that have any direct or specific bearing upon the subject of uterine disorders.

Source Books of the Repertory: Minton has quoted Dr. Hovat in Curare, Dr.Hughes in Glonoine and even Dr.Hahnemann in Dictamnus. Other than their masterpieces he had also referred large number of books, records, journals, magazines and pamphlets for the making of this repertory.

Philosophical Background: The philosophy on which the construction and plan of this repertory is based are:

  • Doctrine of Concomitants and Complete Symptoms : Like most of the Regional repertories, Minton's therapeutics also emphasises on the importance of concomitants and complete symptoms.
  • Doctrine of Causation and Time: Anyone who has gone through this book must have seen that each section of this repertory has a separate rubric of causation and time under it. This book gives importance to both these factors along with location, sensation modality and concomitant in dealing with a symptom.
  • Evaluation of Remedies: Minton's Therapeutics also incorporates evaluation of remedies in its construction. The gradation is based on the frequency and intensity of the symptoms recorded.
  • Clinical Rubrics: Being a Clinical Repertory this book has a record of a number of clinical conditions along with the group of medicines. This serves as a necessary aid in cases where there is advanced pathology or in paucity of symptom.

Plan and Construction: The arrangement of this repertory is based on "The Homeopathic Therapeutics of Diarrhoea" by James B.Bell. The credit for giving this book its present shape goes to the Editor, Dr. A.R.Thomas.

The Repertory starts with the quotes of Bacon and Horace. It is followed by the content under following headings:

  • PREFACE - It was written on Sep1, 1883 in Brooklyn , New York . It is the story of how this book came into existence with a brief introduction of this book.
  • DEDICATION - It is dedicated to his friend E.T.Richardson.
  • LIST OF REMEDIES - This is a alphabetical record of all the medicines in this book with their abbreviations. The list includes 178 medicines from Aconite to Zingiber, though the actual number of medicines given is 177(Actea racemosa and Cimicifuga have been repeated).
PART I (MATERIA MEDICA) - This contains alphabetical arrangement of Medicines with their indications under the following headings -
    • Menstruation.
    • Before Menstruation.
    • During Menstruation.
    • After Menstruation.
    • Amenorrhoea
    • Metrorrhagia
    • Lochia
    • Leucorrhoea
    • Concomitants (in general) this includes most of the important indications of the medicines, other than the uterine system. It also includes the mental picture of the medicine.
    • Aggravation
    • Amelioration.

The last paragraph in most of the medicines deals with the adaptability of the medicine regarding- constitution, temperament, living conditions and even the disease conditions.

This part has been written with an aim to list for the practitioner all the necessary symptoms of the medicine. This section is a complete material medica in itself ready for use.

PART II (REPERTORY) – This section contains the Repertory Proper under the following headings –

  • Menstruation: This section includes specifications of menses under:
    • Time and quantity of discharge.
    • Character of menstrual discharge.
    • Before menstruation.
    • During menstruation.
    • After menstruation
    Basically this section has record of symptoms of menses. This section is very much similar in its content to the rubric "Menses" in other general repertories.
  • Amenorrhoea : This section includes the rubrics:
    • Cause and Concomitants: It includes the causes most frequently associated with amenorrhoea along with the chief accompaniments. 
  • Abortion - miscarriage: This section includes the rubrics:
    • Cause
    • Character of the discharge.
    • Character of the pain.
    • Mental condition.
    • Metrorrhagia.
    • Character of the discharge.
    • Concomitants
    This section gives rubrics describing the specifics of abortion. But the author has given Metrorrhagia under Abortion and not under Menstruation, though we know that Metrorrhagia is defined as profuse menses in quantity or in duration. 
  • Lochia : It includes:
    • Peculiarities of the discharge.
    • Concomitant symptoms.
    This section deals with the change in character of Lochia which accompanies puerperal complaints. 
  • Leucorrhoea: It includes:
    • Character of the discharge.
    • Cause, Time, Aggravation and Amelioration of the discharge.
    • Concomitant symptoms.
    This section deals with the peculiarities of leucorrhoea under the given rubrics. 
  • General Concomitants: This section covers the person as a whole from Mind to Generalities.
    • Mind and mood.
    • Sleep.
    • Vertigo.
    • Headache.
    • Head.
    • Eyes.
    • Ears.
    • Nose.
    • Face.
    • Mouth.
    • Throat.
    • Appetite.
    • Eructations.
    • Hiccough.
    • Water brash.
    • Nausea.
    • Vomiting.
    • Stomach.
    • Abdomen.
    • Anus.
    • Rectun.
    • Stool.
    • Urination.
    • Urine.
    • Sexual organs.
    • Sexual desire.
    • Mammae.
    • Nipples.
    • Chest.
    • Respiration.
    • Cough.
    • Heart.
    • Back.
    • Extremities.
    • Skin.
    • Persons- remedies especially suitable for.
    • Generalities.
    This section is a real marvel of this repertory. It includes separately and with details all parts of the body and their symptoms. It even includes parts of the female genitalia viz. Labia, Pudendum, Vulva, Vagina, Uterus, Ovaries both, Right, left etc. All the structural changes which could not be covered in the previous sections have been dealt with in this section. 

Arrangement of Rubrics: Like most Regional Repertories of that time, the

-Rubrics in each chapter are in Alphabetical order.

-Sub rubrics are given after an indentation followed by the medicines.

-Sub sub rubrics are given with more indentation followed by a comma after each part.

INDEX: At the end of the book Index has been given which has the sections and rubrics arranged alphabetically under it. This section facilitates the search of needed rubric.

Typographies Used: Two types of Typographies have been used in the whole book.

-Italics.

-Ordinary Roman.

Medicines are indicated in Part I (Materia medica) and Part II (Repertory) with same typographies.

Working out a case using Minton's Therapeutics: The symptoms of the case to be worked out should be arranged in the following manner-

  • Complaint.
  • Character of the discharge.
  • Cause.
  • Modalities.
  • Concomitant.
  • Generalities.

In this way a complete picture of the case is formed, which can now be repertorised to choose the simillimum. The final choice can be confirmed using the Materia medica given in first part of the book.

Scope and Limitation of the Repertory : Being a Regional Repertory, the scope of this repertory is for

-    Cases lacking in Generals, but rich in Common symptoms.

-    Cases with clinical diagnoses.

-    Short cases with a few symptoms.

Howsoever, the rubrics given are result of clinical observations and so their use is limited to specific number of cases.

Merits of the Repertory :

  • It is a very elaborate and detailed work covering most of the symptoms
  • It contains rubrics related to females at one place, and so serves as a quick bed side reference.
  • The section "Persons remedies especially for" is a masterpiece and covers most of the constitutions. It also serves as a confirmation stamp on the choice of remedy.
  • Concomitant symptoms of each chapter are placed along with followed by general concomitant chapter in the end which contains symptoms of person as a whole.
  • The General concomitant chapter contains the symptoms relating to the whole body and mind. It in itself forms a complete record of general symptoms.

Shortcomings of the Repertory :

  • The number of medicines is limited.
  • Being a clinical repertory, it is not complete and is mainly used for reference works.
  • Same symptom is repeated under different rubrics or headings and again in concomitants.
  • Mental condition is specifically given under "Abortion" only and not under "Amenorrhoea" or "Leucorrhoea". Though it is mentioned under General concomitants.
  • Only: "Lochia" is given, no other complaint of pregnancy or lying-in-period is covered.
  • Metrorrhagia is given under Abortion and not in Menses.
  • Number of Clinical rubrics is also very limited. 
In spite of the above shortcomings Minton's Therapeutics is a complete repertory in itself. The repertory can be used in most of the present female diseases with favorable results.

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Dr. Henry F. Minton is my great great grandfather. It is wonderful to see that his work is valued to this day. Minton Brooks
  Comment by: Minton Brooks, United States.    on Jan 10, 2013 0 Agree  |  0 Disagree       Report Abuse

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