GERIATRICS AND HOMEOPATHY
GERIATRICS is a sub-speciality of medicine that focuses on health care of elderly.A distinct entity in the same way that neonatology is separated from pediatrics.Homeopathy had wide scope in this field.let us discuss some rubric.
Repertory is an indispensable tool in homoeopathic practice.Use of repertory in elderly patients with specific rubrics may
point towards some very important remedies which we mightoverlook in usual materia medica study.
Synthesis repertory 9.1 contains many such rubrics with
corresponding remedies. These rubrics have come from many author sources andclinical experiences.
Here, I am also giving specific rubrics along with remediesbecause many readers don’t have latest version of synthesis.
These rubrics and remedies are added from various author
references which can be viewed in computerized or printed version e.g. Rubric
Absentminded, old people in- has addition Am-c from Kent personal addition,Ambr and Bar-c from Vithoulkas, Con and Lyc from Stauffer Karl.
One should bear in mind these rubrics and remedies aremostly clinical experiences and should not be used as eliminating
rubrics. General or larger rubrics must be utilized forrepertorisation.
You can have many more general rubrics e.g. at old age
common problems of mind include weakness of memory, forsaken feeling,
helplessness feeling of, anger, irritability, audacity, Ailments from- abused
being, anger, cares, worries, celibacy, grief, indignation, honor wounded,
mortification, neglected being, scorned being, unhappiness etc. Some specificrubrics are as below.
MIND - ABSENTMINDED - old age; in
am-c. Ambr. Bar-c. Con. Lyc.
MIND - CHILDISH behavior - old people; in
MIND - CONFUSION of mind - old age, in
arg-met. Arg-n. Bar-c. Con.
MIND - DELIRIUM TREMENS - old emaciated persons, in
MIND - DULLNESS - old people, of
abel. Abies-n. AMBR. Arg-met. Arg-n. BAR-C. Con. Lyc. PLB.
MIND - FEAR - impotence; of
am-f. cob. cob-m. cob-p. fl-ac. lith-f. nat-m. onos. phos.pitu. rhod. stry. tritic-vg.
MIND - FORGETFUL - old people, of
am-c. Ambr. anac. Bar-c. coff. Con. Crot-h. lach. Lyc.Ph-ac. rhus-t. sulph.
MIND - FORSAKEN feeling - old people; in
MIND - HIDING - himself - old people, in
MIND - INSANITY - old people; in
bell. ign. nat-m. nux-v. sep. sulph.
MIND - LEWDNESS - old men; in
MIND - LOATHING - general loathing - old age, in
MIND - MEMORY - weakness of memory - facts, for - pastfacts; for - old people, in
MIND - MEMORY - weakness of memory - facts, for - recentfacts, for - old people, in
MIND - DEMENTIA - senilis
agn. alum. Ambr. anac. ant-c. arg-met. aur. Aur-i. aza.bapt. bar-act. Bar-c. bell. bry. bufo calc-p. carc. Con. Crot-h.
Cupr. gaert. ign. lach. lil-t. Lyc. med. nat-i. nat-m.nux-v. op. phos. plb. puls. sec. sep. sulph. thiosin.
MIND - MISTAKES; making - speaking, in - old people; in
MIND - MISTAKES; making - writing, in - old people; in
MIND - MOANING - old age, in
MIND - MUTTERING - old people; in
MIND - PROSTRATION of mind - old age, in
MIND - REFLECTING - inability to reflect - old people; in
MIND - SADNESS - old age; in
MIND - SIGHING - old people
MIND - SLOWNESS - old people, of
cact. calc. CON. Hell. Phos. zinc.
MIND - STUPOR - old age, in
MIND - TALKING - sleep, in - old men; in
MIND - UNCONSCIOUSNESS - old age, in
MIND - WEARY OF LIFE - old age, in
Ars. aur. calc.
MIND - WEEPING - causeless - old people; in
A very common complaint at old age is vertigo. Inquire about
its occurrence time, effect of posture and modalities and don’t forget to checkblood pressure.
VERTIGO - OLD PEOPLE; in
alum. Ambr. arn. Ars-i. aur. Bar-c. bar-m. bell. bell-p.bry. calc-p. con. Cupr. dig. fl-ac. galph. glon. gran. Iod. op.
phos. RHUS-T. sec. Sin-n. stroph-h. sulph.
HEAD - BRAIN; complaints of - degenerative - old people; in- men; old
HEAD - HEAVINESS - old people; in
HEAD - PAIN - chronic - old people, of
bar-c. calc-p. iod. phos.
HEAD - PAIN - old people, of
am-c. ambr. bar-m. cypr. gels. iod. lach. nat-c. sep. sulph.
EYE - AMBLYOPIA - old people; in
EYE - CATARACT - old people; in
calc-p. Carb-an. caust. chol. Cine. con. graph. kali-c. lyc.mag-c. merc. napht. nat-m. phos. puls. Sec. sil. sulph.
EYE - INFLAMMATION - old people; in
VISION - DIM - old people
HEARING - IMPAIRED - old people
bar-c. Cic. kali-chl. kali-m. mag-c. merc-d. Petr. phos.
NOSE - CATARRH - old people; in
Alum. am-c. bar-c. eup-per. ictod. kali-s. Kreos. merc-i-f.
NOSE - CORYZA - old people
am-c. anac. ant-c. camph.
NOSE - EPISTAXIS - old people
Agar. aur. bar-c. bov. Carb-v. chin. con. ferr-p. ham. phos.SEC. sil. sul-ac. verat.
FACE - ERUPTIONS - crusty, scabby - old people; in
MOUTH - CLEAN Tongue - accompanied by - bitter taste -women; in old
THROAT - SPASMS - Esophagus - old people can only swallowliquids
STOMACH - INDIGESTION - old people
Abies-n. ant-c. ars. Bar-c. caps. carb-v. chin. Chinin-s.Cic. fl-ac. Hydr. juni-c. kali-c. nux-m. nux-v. pop.
STOMACH - NAUSEA - old people; in
ABDOMEN - ENLARGED - women; in matrons and old
Bell. calc. chin. coloc. nux-v. Plat. SEP.
ABDOMEN - FLATULENCE - old people
ABDOMEN - HERNIA; ABDOMINAL - Inguinal - old people
RECTUM - CHOLERA - old people
RECTUM - CONSTIPATION - chronic - old people; in
RECTUM - CONSTIPATION - old people
aloe alum. alumn. ambr. Ant-c. arn. Bar-c. Bry. Calc-p. Con.hydr. hyos. Lach. lyc. Nux-v. Op. Phos. Phyt. rhus-t. ruta Sel.
RECTUM - DIARRHEA - accompanied by - heat; lack of vital -old people; in
RECTUM - DIARRHEA - alternating with - constipation - oldpeople; in
alum. ANT-C. bry. cycl. nux-v. op. Phos.
RECTUM - DIARRHEA - old people
ANT-C. ant-t. ARS. ars-i. bapt. bar-c. bov. Bry. Carb-v.Chin. coff. con. Fl-ac. GAMB. iod. kreos. lach. nat-m. nat-s.
NIT-AC. nux-v. op. phos. rhus-t. ruta sec. sul-i. sulph.
We should also differentiate between remedies like in Ant-c
Old people with morning diarrhoea, suddenly become constipated, or alternatediarrhoea and constipation; pulse hard and rapid.
Ars A In asthma of old people, who have occasional attacks
of morning diarrhoea, rheumatism, scanty secretion of urine, and too violentimpulse of heart sound.
Ars-I - The diarrhoea comes in the morning and after eating;in old people, excoriating stool.
In Bapt. Dysentery of old people; diarrhoea of children,especially when very offensive (Allen)
Bov- Chronic diarrhoea of old people agg. night, earlymorning. (Phatak)
Bry is indicated in constipation after vexation; in oldpeople; during pregnancy; with retention after delivery; before
menses; from sedentary habits, after abuse of drugs;alternating with diarrhea (Vithoulkas)
Carb-v - Painful diarrhoea of old people. (Phatak)
Con Chronic diarrhoea of old people, with tremulousweakness; discharges sometimes involuntary; specially indicated by the
symptoms that the flow of urine is intermittent.
Coff. has Obstinate diarrhoea of old people occurring afteran attack of cholera.
In Fl-Ac warm drinks brings on diarrhoea, it has alsomorning diarrhoea (Kent)
Gambog. is particularly indicated in diarrhoea of oldpeople; the urging is excessive and the stools are expelled all at once
with considerable force followed by a feeling of generalrelief.
One other feature of IODUM quite frequently met with inrheumatic cases, is a history of an acute diarrhoeic attack
immediately preceding the rheumatic attack. (Borland)
Kreosote is indicated in diarrhoea of old women.
Nat S has diarrhoea in the morning and cheerful or amelafter stool.
Nit-ac Excessive prostration, with diarrhoea, especially inold people and those who sleep badly.
Nux v has frequent ineffectual urging and straining even indiarrhoea and they feel still there is more stool
Phos Diarrhoea as soon as anything enters the rectum;profuse pouring away as from a hydrant; watery with sago-like
particles; with sensation as if the anus stood open;involuntary; during cholera-time; painless; morning of old people;
bloody stool; blood-streaked stool; stool like shreddymembranes.
Sulph has well known early morning diarrhoea which is suddenand drives him out of bed
RECTUM - DYSENTERY - old people; in
RECTUM - HEMORRHAGE from anus - old people; in - women; old
When bladder condition is assessed one should always noteprostate condition as prolonged prostate trouble cause pressure
over detruser muscles and sphincter which may result inweakness and incontinence results. Also check for any adhesion,
phimosis or any stricture in urethra.
BLADDER - ATONY of - old age
BLADDER - CATARRH, mucopus - old people; in
Alumn. Carb-v. kali-p. pop. sulph. Ter.
BLADDER - PARALYSIS - old people; in
ARS. bell. camph. Cann-s. canth. Caust. Cic. con. Equis-h.Gels. kali-p. lach. lyc. mur-ac. nat-m. nux-v. op. phos. Sec. sil.
BLADDER - RETENTION of urine - old people; in - men; old
Caust. Con. lyc. op. pareir. plb. Puls. sars. sep. sil.Solid. staph. sulph. Ter. Zinc.
BLADDER - URINATION - dribbling - old persons; in
all-c. bar-c. cic. con. equis-h. nux-v.
BLADDER - URINATION - dysuria - morning - old men, in
BLADDER - URINATION - frequent - old people
BLADDER - URINATION - involuntary - night - old people
apoc. benz-ac. kali-p. sec.
BLADDER - URINATION - involuntary - old people; in
All-c. aloe am-be. apis arg-n. Ars. Aur-m. bar-c. Benz-ac.bry. cann-s. canth. carb-ac. chlorpr. Cic. con. dam. equis-h.
gels. Iod. kali-p. nit-ac. phos. psor. Rhus-a. Sec. seneg.Thuj.
BLADDER - URINATION - involuntary - old people; in - menwith enlarged prostate
All-s. Aloe apoc. Cic. dig. Iod. kali-p. nux-v. Pareir. Sec.Thuj.
BLADDER - URINATION - involuntary - old people; in - women
BLADDER - WEAKNESS - old people; in
BLADDER - WEAKNESS - old people; in - men; old
alum. Benz-ac. carb-ac. clem. con. Pop. sel. Staph.
MALE GENITALIA/SEX - ERECTIONS - continued - old people; in- men; old
MALE GENITALIA/SEX - ERECTIONS - frequent - old people; in -men; old
MALE GENITALIA/SEX - ERECTIONS - violent - old people; in -men; old
MALE GENITALIA/SEX - ERECTIONS - wanting - old people; in
MALE GENITALIA/SEX - INDURATION - Penis - old people; in -men; old
MALE GENITALIA/SEX - INDURATION - Testes - old people; in
MALE GENITALIA/SEX - POLLUTIONS - frequent - old people; in- men; old
bar-c. caust. nat-c. sulph.
MALE GENITALIA/SEX - SEXUAL DESIRE - increased - old people;in - men; old
arn. Fl-ac. lyc. mosch. sel. staph. sulph.
MALE GENITALIA/SEX - SEXUAL DESIRE - increased - old people;in - men; old - impotent; but
FEMALE GENITALIA/SEX - EXCORIATION - old people; in - women;old
FEMALE GENITALIA/SEX - LEUKORRHEA - bloody - old women, in
FEMALE GENITALIA/SEX - LEUKORRHEA - old people; in - women;old
ars. Gels. Helon. nit-ac. Phos. sec.
FEMALE GENITALIA/SEX - MENSES - copious - old people; in -women; old
crot-h. lach. mag-m. Plat. Sars.
FEMALE GENITALIA/SEX - MENSES - return - ceased; after theregular menstrual cycle has - old women, in
Calc. lach. mag-c. mag-m. PHOS. Plat. sep. staph.
FEMALE GENITALIA/SEX - METRORRHAGIA - women - old; in
Calc. cham. hydr. Ign. lach. Mag-m. Mang. Merc. phos. sep.
FEMALE GENITALIA/SEX - SEXUAL DESIRE - increased - oldwomen, in
FEMALE GENITALIA/SEX - ULCERS - Uterus - Cervix - oldpeople; in - women; old
LARYNX AND TRACHEA - CATARRH - old people; in
Ammc. Ant-t. Ars. BAR-C. Carb-v. CHIN. Hydr. Lyc. SENEG.
LARYNX AND TRACHEA - VOICE - old people; complaints of
RESPIRATION - ASTHMATIC - old people; in
am-c. Ambr. ant-c. ARS. aur. Bar-c. bar-m. camph. Carb-v.Coca Con. phel. Seneg. sulph.
RESPIRATION - ASTHMATIC - old people; in - athletes
RESPIRATION - DIFFICULT - old people
ammc. Bac. Bar-c. carb-v. Chin. coca seneg.
RESPIRATION - RATTLING - old people
Ammc. Bar-c. HIPPOZ. KALI-BI. LYC. Seneg.
RESPIRATION - SUPERFICIAL - old people; in
COUGH - OLD people
alum. alumn. Am-c. Ambr. Ammc. ant-c. ant-i. Ant-t. Bar-c.bar-m. camph. Carb-v. con. DULC. hydr. hyos. ichth. ip. kreos.
myrt-c. Psor. rhus-t. sal-ac. Seneg. sil. stict.
COUGH - RATTLING - old people
Ammc. bar-c. Hippoz. Kali-bi. Seneg.
EXPECTORATION - COPIOUS - old people
alum. Ammc. Ant-t. Ars. BAR-C. caust. Kreos. senec.
EXPECTORATION - DIFFICULT - old people
Ammc. diphtox. Seneg.
CHEST - ARTERIOSCLEROSIS of coronaries - old people; in -men; old
CHEST - BRONCHIECTASIS - old people
CHEST - CATARRH - old people
Ammc. Ant-t. Bac. BAR-C. Chin. hydr. Nat-s. phel. SENEG.Tub.
CHEST - EMPHYSEMA - old people; in
CHEST - HEART; complaints of the - old people; in
ars-i. bar-i. crat.
CHEST - INFLAMMATION - Bronchial tubes - old people
all-c. Am-c. Ammc. ant-c. ANT-T. ars. Camph. Carb-v.diphtox. Dros. HIPPOZ. Hydr. kreos. led. Lyc. Nux-v. prot. Seneg. squil. verat.
CHEST - INFLAMMATION - Lungs - old people
ACON. ant-ar. Ant-t. ars. Bell. Bry. cham. Dig. Ferr.FERR-P. gels. Hyos. ip. MERC. Nat-s. Nit-ac. Nux-v. Op. Seneg. verat.
CHEST - INFLAMMATION - Pleura - old people
CHEST - PARALYSIS - Lung - old people
Ant-t. Ars. aur. BAR-C. Carb-v. CHIN. con. LACH. lyc. Op.phos. verat.
CHEST - PHTHISIS pulmonalis - old people
EXTREMITIES - GANGRENE - Toes - old people; in
Carb-an. Carb-v. cupr. Ph-ac. SEC.
EXTREMITIES - PARALYSIS - old people; in
Bar-c. Con. Kali-c. op.
SLEEP - SLEEPINESS - old people
SLEEP - SLEEPLESSNESS - old people; in
Acon. ars. Bar-c. carc. op. passi. phos. sulph. SYPH.
SLEEP - SLEEPLESSNESS - restlessness, from - old people; in
FEVER - INTERMITTENT - old people, with coma
alum. nux-m. Op.
SKIN - DISCOLORATION - spots - dark spots - old people; in
ars. aur. bar-c. Carb-an. Con. Lach. Lyc. op. Sec.
SKIN - ERYSIPELAS - old people; in
am-c. carb-an. Lach.
SKIN - GANGRENE - old people; in
all-c. am-c. ars. Carb-v. euph. euph-re. ph-ac. sars. SEC.sul-ac.
SKIN - ITCHING - old people; in
alum. arg-n. ars. bar-act. bar-c. con. dol. dulc. fago.fl-ac. kreos. mag-p. merc. Mez. nat-sil. olnd. op. sul-ac. sulph.
SKIN - ULCERS - old people; in
GENERALS - BLACKNESS of external parts - old people; in
adren. all-c. am-c. Ars. Carb-v. chin. con. crot-h. cupr.echi. ergot. euph. Kreos. LACH. Ph-ac. Plb. SEC. vip.
GENERALS - CHOREA - old people; in
GENERALS - EMACIATION - old people; in
Ambr. anac. BAR-C. carb-v. chin. chinin-s. Fl-ac. IOD. LYC.nit-ac. op. rhus-t. Sec. Sel. Sil.
GENERALS - HEAT - lack of vital heat - old people; in
GENERALS - OBESITY - old people; in
am-c. AUR. bar-c. fl-ac. KALI-C. op. sec.
GENERALS - OLD AGE - premature
Agn. alco. alum. Ambr. ant-c. anthraci. arg-met. arg-n. ars.Aur. Bar-c. berb. bufo carb-ac. carb-v. carc. chinin-s. coca
Con. cortico. Cupr. des-ac. esp-g. Fl-ac. gins. hydr.hydrog. Kali-c. kres. LACH. lyc. mag-f. nit-ac. nux-v. op. phos. prot.
psor. reser. sars. sec. SEL. sep. staph. stram. sulph. sumb.verat. Vip.
GENERALS - TREMBLING - Externally - old people; in
alum. ambr. aur. aven. bar-c. calc. cann-i. cocain. con.kali-c. merc. op. phos. plb. plb-act. sil. stront-c. sulph. zinc.
GENERALS - WEAKNESS - old people; in
alum. Ambr. ant-t. aur. BAR-C. carb-v. carc. caust. Con.Cur. eup-per. glyc. hydr. nit-ac. Nux-m. op. Phos. sec. Sel. Sul-ac.
You must also note down relation with heat and cold, fooddesire, aversion or aggravation, reaction with season or weather